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Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Harries, L; Schrem, H; Stahmeyer, JT; Krauth, C; Amelung, VE.
High resource utilization in liver transplantation-how strongly differ costs between the care sectors and what are the main cost drivers?: a retrospective study.
Transpl Int. 2017; 30(6): 621-637.
Doi: 10.1111/tri.12950
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- Co-authors Med Uni Graz
- Schrem Harald Heinrich
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- Abstract:
- To control treatment pathways of transplant patients across healthcare sectors, a profound knowledge of the underlying cost structure is necessary. The aim of this study was to analyze the resource utilization of patients undergoing liver transplantation. Data on resource utilization for 182 liver-transplanted patients was investigated retrospectively. The observational period started with the entry on the waiting list and ended up to 3 years after transplantation. Median treatment cost was 144 424€. During waiting time, median costs amounted to 9466€; 72% of costs were attributed to inpatient care, 3% to outpatient care, and 26% to pharmaceuticals. During the first year after transplantation, median costs of 105 566€ were calculated; 83% were allocated for inpatient and 1% outpatient care, 14% for drugs, and 1% for rehabilitative care. During follow-up after the first year of transplantation, median costs amounted to 20 115€; 75% of these were caused by pharmaceuticals, 21% by inpatient, 4% by outpatient, and <1% by rehabilitative services. Subgroup analyses (e.g., for labMELD scores) were done. Costs incurred by inpatient care and pharmaceuticals are the dominating cost factors. These findings encourage a debate on challenges and improvements for cost-efficient clinical management between different healthcare sectors. © 2017 Steunstichting ESOT.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Ambulatory Care - economics
- Costs and Cost Analysis -
- Drug Costs -
- Female -
- Germany -
- Health Care Costs -
- Hospital Costs -
- Humans -
- Liver Transplantation - economics
- Male -
- Middle Aged -
- Retrospective Studies -
- Time Factors -
- Find related publications in this database (Keywords)
- cost analysis
- cross-sectoral costs
- German healthcare costs
- liver transplantation economics
- sectors of health care