Table 2.
Surgical outcomes and costs among 462 surgically treated patients with a pituitary tumor stratified according to cohort
| Fast-track (N = 79) |
Non-fast-track (N = 76) |
p value* | Total (N = 155) |
Historic cohort (N = 307) |
p value** | |
|---|---|---|---|---|---|---|
| Length of stay, mean (SD) | 3.0 (1.9) | 7.6 (8.6) | <0.001 | 5.3 (6.6) | 5.7 (4.9) | 0.363 |
| Complications | ||||||
| Number of readmitted patients, N (%) | 13 (16.5) | 14 (18.4) | 0.747 | 27 (17.2) | 31 (10.1) | 0.025 |
| Length of stay of all readmissions, mean (SD) | 3.6 (2.7) | 4.3 (4.2) | 0.647 | 4.0 (3.5) | 4.1 (3.4) | 0.917 |
| Any complication, N (%) | 38 (48.1) | 46 (60.5) | 0.147 | 84 (54.2) | 179 (58.3) | 0.427 |
| Transient DI, N (%) | 20 (25.3) | 28 (36.8) | 0.165 | 48 (31.0) | 53 (17.3) | 0.001 |
| Permanent DI, N (%) | 3 (3.8) | 7 (9.2) | 0.204 | 10 (6.5) | 17 (5.5) | 0.834 |
| Delayed hyponatremia, N (%) | 9 (11.4) | 14 (18.4) | 0.262 | 23 (14.8) | 31 (10.1) | 0.167 |
| New onset pituitary deficiency, N (%) | 4 (5.1) | 9 (11.8) | 0.148 | 13 (8.4) | 22 (7.2) | 0.709 |
| Postoperative CSF leak, N (%) | 3 (3.8) | 8 (10.5) | 0.126 | 11 (7.1) | 25 (8.2) | 0.719 |
| Epistaxis, N (%) | 10 (12.7) | 2 (2.6) | 0.032 | 12 (7.7) | 29 (9.4) | 0.606 |
| Postoperative intracranial hemorrhage, N (%) | 0 (0.0) | 1 (1.3) | 0.490 | 1 (0.6) | 3 (1.0) | 1.000 |
| Hospital costs (in euro’s) | ||||||
| Admission, mean (SD) | 7249 (1318) | 10394 (5868) | <0.001 | 8791 (4488) | 9127 (3306) | 0.363 |
| Readmission, mean (SD) | 438 (1221) | 608 (1759) | 0.486 | 521 (1506) | 323 (1287) | 0.141 |
| Emergency room visits, mean (SD) | 42 (108) | 50 (153) | 0.677 | 46 (132) | 25 (85) | 0.039 |
| Outpatient clinic visits, mean (SD) | 55 (102) | 332 (68) | <0.001 | 191 (164) | 343 (34) | <0.001 |
| E-mail contacts, mean (SD) | 626 (284) | 0 (0) | <0.001 | 319 (373) | 0 (0) | <0.001 |
| Telephone contacts, mean (SD) | 242 (184) | 0 (0) | <0.001 | 123 (178) | 0 (0) | <0.001 |
| Total hospital costs, mean (SD) | 8652 (1748) | 11,384 (5974) | <0.001 | 9992 (4562) | 9818 (3488) | 0.649 |
N number, SD standard deviation, IQR interquartile range, DI diabetes insipidus, CSF cerebrospinal fluid
Bold values indicate statistical significance p < 0.05
*Fast-track vs. non-fast-track; **Total vs. historic cohort