Financial implications of pancreas transplant complications: a business case for quality improvement.


Journal Article

We quantified the financial implications of surgical complications following pancreas transplantation. We reviewed medical and financial records of 49 pancreas transplant recipients at the University of Michigan Health System (UMHS) between 1/6/2002 and 11/22/2004. The association of donor, transplant recipient and financial variables was assessed. The median costs to UMHS of procedures and follow-up were $92,917 for recipients without surgical complications versus $108,431 when a surgical complication occurred, a difference of $15,514 (p = 0.03). Median reimbursement by the payer was $17,363 higher in patients with a surgical complication (p = 0.001). Similar trends (higher insurer costs) were noted when stratifying by payer (public and private) and specific procedure (SPK and PAK). All parties (patient, physician, payer and medical center) should benefit from quality improvement, with payers having a financial interest in pancreas transplant surgical quality initiatives.

Full Text

Duke Authors

Cited Authors

  • Cohn, JA; Englesbe, MJ; Ads, YM; Paruch, JL; Pelletier, SJ; Welling, TH; Sonnenday, CJ; Magee, JC; Punch, JD; Campbell, DA; Sung, RS

Published Date

  • June 2007

Published In

Volume / Issue

  • 7 / 6

Start / End Page

  • 1656 - 1660

PubMed ID

  • 17425623

Pubmed Central ID

  • 17425623

International Standard Serial Number (ISSN)

  • 1600-6135

Digital Object Identifier (DOI)

  • 10.1111/j.1600-6143.2007.01791.x


  • eng

Conference Location

  • United States