![]() ![]() Therefore, our analysis has included individual processes and factors in the operating room, the nursing departments, and the administration to define which relevant influencing factors in the treatment process of colon surgery are responsible for the negative outcome in patients with AL concerning quality and costs. It is postulated that there are factors in the treatment process of colon surgery that are responsible for the financial loss and can be mapped. ![]() In contrast to these studies investigating the risk factors for anastomotic leakage, from a managerial perspective, AL in colorectal surgery has a relevant negative impact on the financial outcome of the SwissDRG system and the quality of the treatment process. ![]() Regarding process optimization, our analysis identified several sectors of non-patient-related, yet cost-influencing variables that should be addressed in future evaluations and optimization of the colon surgery treatment processes.Ī 2020 Cochrane review identified surgeon experience, anastomosis technique, and protective stomas in low anterior resection as significant factors influencing AL rates. Conclusion: AL after colon surgery leads to a significant deficit regarding the net revenue. The main cost contributing factors were the length of hospital stay (~ p < 0.05) and length of intensive care ( p < 0.05), whereas neither surgical operation time and anesthesia time nor surgical access, insurance status, indication or type of operation had a significant influence on the net revenue. Thus, the difference in profit showed a factor of 24.6 with an overall significant negative outcome for the occurrence of AL. This reflected a mean deficit of −37,527 CHF per case (range from −130.05 to +755 CHF) for patients with AL, whereas a mean profit of 1590 CHF per case (range from −24.37 to +12.65 CHF) for those without AL ( p < 0.001). Results: A total of 48 surgeries were broken down in terms of costs and profitability. The covariates for the PSM have been Age, Sex, and Type of Surgery (t value: −3.26, p-value: 0.001). In these 263 cases, 12 anastomotic leaks occurred and were compared with 36 cases without AL using a Propensity Score Matching (PSM). Methods: Data from 263 patients who underwent colon surgery in Wetzikon hospital between January 2018 and December 2020 and was analyzed. The aim of our analysis was to evaluate, which individual processes and patient-unrelated factors influencing the treatment process of colon surgery are responsible for the financial burden in patients with AL. An anastomotic leak (AL) is associated with significantly increased costs compared to cases without. Background: Complications in colon surgery can have severe health consequences, while at the same time, they are associated with increased costs. ![]()
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