Table 6.
LAGB secondary surgery (n = 27) | Episodes of care (n) | Patients (n) | LoS (days) | Costs |
---|---|---|---|---|
Total |
51 (cost)a 58 (LoS) |
27 |
3.5 ± 6.6 1 (1–3.8) 1; 46 |
9867 ± 19,313b 4979 (3326–11,015) 155; 136,962 |
Sensitivity analysis 1c (cost and LoS outliers removed) |
50 (cost) 57 (LoS) |
27 |
2.7 ± 3.3 1 (1–3) 1; 20 |
7325 ± 6659 4942 (3320–10,589) 155; 33,118 |
Sensitivity analysis 2d (cost and LoS outliers removed) |
48 (cost) 51 (LoS) |
27 |
1.8 ± 1.5 1 (1–2) 1; 6 |
6399 ± 4877 4799 (3093–9683) 155; 18,975 |
Subgroup analyses | ||||
Device related (including port related) | 33 | 16 |
2.2 ± 2.4 1 (1–2) 1; 11 |
6267 ± 4711 4906 (3388–9400) 155; 16,273 Costs 29 |
Port-related | 27 | 12 |
1.8 ± 2.3 1 (1–1) 1; 11 |
5296 ± 3856 4618 (3375–6298) 155; 15,546 Costs 25 |
Revision or reversal | 6 |
3.5 ± 2.1 3.5 (2–5) 1; 6 |
11,753 ± 6423 14,091 (12,314–15,504) 582; 16,273 |
|
Colonoscopy/gastroscopy | 10 | 9 | 1 day |
2525 ± 1104 2285 (1729–3093) 1378; 4295 |
Cholecystectomy | 4 | 4 | 3 ± 1.2 |
9985 ± 4236c 10,610 (8041–12,241) 5470; 13,873 |
Hernia repair | 4 | 4 |
3.3 ± 3.9 1.5 (1–3.8) 1; 9 |
10,317 ± 8871 6777 (5337–11,753) 4272; 23,537 |
Body-contouring surgery | 1 | 1 | 4 | NA |
Data are presented as mean ± standard deviation, median (interquartile range) or minimum; maximum unless otherwise indicated
LAGB laparoscopic adjustable gastric band, LoS length of stay, NA not applicable
an = 51 costs, i.e. n = 7 costs not available
bNote that total costs for the 51 episodes of care were $503,233 (reference case: 2016–2017 = 100)
cSensitivity analyses 1: one major cost and LoS outlier for major and complicated gastrointestinal surgery LoS 46 days (including an intensive care unit admission of 3199 min) and cost $136,967
dSensitivity analyses 2: LoS outliers > 6 days (n = 6) and cost outliers ≥ $25,000 (n = 2; $136,967 and $33,119)