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Temporal trends in early clinical outcomes and health care resource utilization for liver transplantation in the United States.

Publication ,  Journal Article
Scarborough, JE; Pietrobon, R; Marroquin, CE; Tuttle-Newhall, JE; Kuo, PC; Collins, BH; Desai, DM; Pappas, TN
Published in: J Gastrointest Surg
January 2007

INTRODUCTION: Procedures such as liver transplantation, which entail large costs while benefiting only a small percentage of the population, are being increasingly scrutinized by third-party payors. The purpose of our study was to conduct a longitudinal analysis of the early clinical outcomes and health care resource utilization for liver transplantation in the United States. METHODS: The Nationwide Inpatient Sample database was used to conduct a longitudinal analysis of the clinical outcome and resource utilization data for liver transplantation procedures in adult recipients performed in the United States over three time periods (Period I: 1988-1993; Period II: 1994-1998: Period III: 1999-2003). RESULTS: Compared to Period I, adult liver transplant recipients were more likely to be male, older, and non-White in Period III. Recipients were more likely to have at least one major comorbidity preoperatively than in Period I. The in-hospital mortality rate after liver transplantation decreased significantly from Period I to Period III, but the major intraoperative and postoperative complication rates increased over the same time period. Mean length of hospital stay decreased over the 15-year period, but the percentage of patients with a non-routine discharge status increased. CONCLUSION: Our findings indicate that the rate of postoperative complications and non-routine discharges after liver transplantation is increasing. However, these negative changes in the cost-outcomes relationship for liver transplantation are balanced by improving postoperative survival rates and reductions in the length of hospital stay.

Duke Scholars

Published In

J Gastrointest Surg

DOI

ISSN

1091-255X

Publication Date

January 2007

Volume

11

Issue

1

Start / End Page

82 / 88

Location

Netherlands

Related Subject Headings

  • United States
  • Time Factors
  • Surgery
  • Regression Analysis
  • Postoperative Complications
  • Outcome Assessment, Health Care
  • Middle Aged
  • Male
  • Longitudinal Studies
  • Liver Transplantation
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Scarborough, J. E., Pietrobon, R., Marroquin, C. E., Tuttle-Newhall, J. E., Kuo, P. C., Collins, B. H., … Pappas, T. N. (2007). Temporal trends in early clinical outcomes and health care resource utilization for liver transplantation in the United States. J Gastrointest Surg, 11(1), 82–88. https://doi.org/10.1007/s11605-007-0103-5
Scarborough, John E., Ricardo Pietrobon, Carlos E. Marroquin, Janet E. Tuttle-Newhall, Paul C. Kuo, Bradley H. Collins, Dev M. Desai, and Theodore N. Pappas. “Temporal trends in early clinical outcomes and health care resource utilization for liver transplantation in the United States.J Gastrointest Surg 11, no. 1 (January 2007): 82–88. https://doi.org/10.1007/s11605-007-0103-5.
Scarborough JE, Pietrobon R, Marroquin CE, Tuttle-Newhall JE, Kuo PC, Collins BH, et al. Temporal trends in early clinical outcomes and health care resource utilization for liver transplantation in the United States. J Gastrointest Surg. 2007 Jan;11(1):82–8.
Scarborough, John E., et al. “Temporal trends in early clinical outcomes and health care resource utilization for liver transplantation in the United States.J Gastrointest Surg, vol. 11, no. 1, Jan. 2007, pp. 82–88. Pubmed, doi:10.1007/s11605-007-0103-5.
Scarborough JE, Pietrobon R, Marroquin CE, Tuttle-Newhall JE, Kuo PC, Collins BH, Desai DM, Pappas TN. Temporal trends in early clinical outcomes and health care resource utilization for liver transplantation in the United States. J Gastrointest Surg. 2007 Jan;11(1):82–88.
Journal cover image

Published In

J Gastrointest Surg

DOI

ISSN

1091-255X

Publication Date

January 2007

Volume

11

Issue

1

Start / End Page

82 / 88

Location

Netherlands

Related Subject Headings

  • United States
  • Time Factors
  • Surgery
  • Regression Analysis
  • Postoperative Complications
  • Outcome Assessment, Health Care
  • Middle Aged
  • Male
  • Longitudinal Studies
  • Liver Transplantation