TY - JOUR
T1 - Trends in common surgical procedures at children's and nonchildren's hospitals between 2000 and 2009
AU - Short, Heather L.
AU - Sarda, Samir
AU - Travers, Curtis
AU - Hockenberry, Jason M.
AU - McCarthy, Ian
AU - Raval, Mehul V
N1 - Funding Information:
MVR is supported, in part, with funding from Emory University School of Medicine Department of Surgery and Children's Healthcare of Atlanta .
Publisher Copyright:
© 2018 Elsevier Inc.
PY - 2018/8
Y1 - 2018/8
N2 - Purpose: Though growth in children's surgical expenditures has been documented, procedure-specific differences in volume and costs at children's hospitals (CH) and non-hildren's hospitals (NCH) have not been explored. Our purpose was to compare trends in volume and costs of common pediatric surgical procedures between CH and NCH. Methods: We performed a review of the 2000–2009 Kids’ Inpatient Database identifying all cases of appendectomy for uncomplicated appendicitis (AP), tonsillectomy and adenoidectomy (TA), fundoplication (FP), humeral fracture repair (HFR), pyloromyotomy (PYL), and cholecystectomy (CHOLE). Trends in case volume and costs were examined at CH versus NCH. Results: The proportion of surgical care at CH increased for all procedures from 2000 to 2009. TA and CHOLE demonstrated higher costs per case at CH. Positive growth over time in cost per case at CH was seen for AP and FP, with the cost per case of FP increasing by 21% between 2006 and 2009. Conclusions: The proportion of surgeries performed at CH is continuing to grow alongside proportionate increases in costs, however costs for certain procedures are higher at CH than NCH. Further investigation is needed to explore cost containment at CH while still maintaining specialized, high quality surgical care. Level of evidence: Level III.
AB - Purpose: Though growth in children's surgical expenditures has been documented, procedure-specific differences in volume and costs at children's hospitals (CH) and non-hildren's hospitals (NCH) have not been explored. Our purpose was to compare trends in volume and costs of common pediatric surgical procedures between CH and NCH. Methods: We performed a review of the 2000–2009 Kids’ Inpatient Database identifying all cases of appendectomy for uncomplicated appendicitis (AP), tonsillectomy and adenoidectomy (TA), fundoplication (FP), humeral fracture repair (HFR), pyloromyotomy (PYL), and cholecystectomy (CHOLE). Trends in case volume and costs were examined at CH versus NCH. Results: The proportion of surgical care at CH increased for all procedures from 2000 to 2009. TA and CHOLE demonstrated higher costs per case at CH. Positive growth over time in cost per case at CH was seen for AP and FP, with the cost per case of FP increasing by 21% between 2006 and 2009. Conclusions: The proportion of surgeries performed at CH is continuing to grow alongside proportionate increases in costs, however costs for certain procedures are higher at CH than NCH. Further investigation is needed to explore cost containment at CH while still maintaining specialized, high quality surgical care. Level of evidence: Level III.
KW - Children's hospitals
KW - Health care expenditures
KW - Kids’ Inpatient Database (KID)
KW - Nonchildren's hospitals
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U2 - 10.1016/j.jpedsurg.2017.11.053
DO - 10.1016/j.jpedsurg.2017.11.053
M3 - Article
C2 - 29241960
AN - SCOPUS:85037578550
SN - 0022-3468
VL - 53
SP - 1472
EP - 1477
JO - Journal of Pediatric Surgery
JF - Journal of Pediatric Surgery
IS - 8
ER -