Table 3.
Health care cost savings with ERAS (2015 Canadian dollars)
| Outcome | Total change, d | Unit cost | Base-case analysis | Scenario analysis | ||
|---|---|---|---|---|---|---|
| Base case | Low | High | ||||
| Primary LOS, d* | −1990 | $1566 | $3 116 340 | $2 017 008 | $4 217 238 | $3 116 340 |
| Number of ED visits | −57 | $904 | 0 | 0 | 0 | $51 528 |
| Number of specialist visits | 137 | $352 | 0 | 0 | 0 | −$48 224 |
| Number of GP visits | −109 | $196 | 0 | 0 | 0 | $21 364 |
| Prevented readmissions | −18 | $2696 | 0 | 0 | 0 | $48 528 |
| Readmission LOS, d | −419 | $1566 | 0 | 0 | 0 | $656 154 |
| Total cost | $3 116 340 | $2 017 008 | $4 217 238 | $3 845 690 | ||
| Cost of ERAS† | $826 210 | $826 210 | $826 210 | $826 210 | ||
| Total net cost savings | $2 290 130 | $1 190 798 | $3 391 028 | $3 019 480 | ||
| Net cost savings per patient | $1,768 | $920 | $2,619 | $2332 | ||
| Return on investment ratio | 3.8 | 2.4 | 5.1 | 4.7 | ||
ED = emergency department; ERAS = Enhanced Recovery After Surgery; GP = general practitioner; LOS = length of stay in hospital.
p < 0.000.
$638 per patient × 1295 patients.