The Financial Burden of Surgery for Congenital Malformations—The Austrian Perspective

Neonatal “surgical” malformations are associated with higher costs than major “non-surgical” birth defects. We aimed to analyze the financial burden on the Austrian health system of five congenital malformations requiring timely postnatal surgery. The database of the Austrian National Public Health...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Paolo Gasparella, Georg Singer, Bernhard Kienesberger, Christoph Arneitz, Gerhard Fülöp, Christoph Castellani, Holger Till, Johannes Schalamon
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	congenital malformations rare disease neonatal surgery health system Medicine R
Acceso en línea:	https://doaj.org/article/4fe97917d85344c5929c58a535d5c064
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:4fe97917d85344c5929c58a535d5c064
record_format	dspace
spelling	oai:doaj.org-article:4fe97917d85344c5929c58a535d5c0642021-11-11T16:19:01ZThe Financial Burden of Surgery for Congenital Malformations—The Austrian Perspective10.3390/ijerph1821111661660-46011661-7827https://doaj.org/article/4fe97917d85344c5929c58a535d5c0642021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11166https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Neonatal “surgical” malformations are associated with higher costs than major “non-surgical” birth defects. We aimed to analyze the financial burden on the Austrian health system of five congenital malformations requiring timely postnatal surgery. The database of the Austrian National Public Health Institute for the period from 2002 to 2014 was reviewed. Diagnosis-related group (DRG) points assigned to hospital admissions containing five congenital malformations coded as principal diagnosis (esophageal atresia, duodenal atresia, congenital diaphragmatic hernia, gastroschisis, and omphalocele) were collected and compared to all hospitalizations for other reasons. Out of 3,518,625 total hospitalizations, there were 1664 admissions of patients with the selected malformations. The annual mean number was 128 (SD 17, range 110–175). The mean cost of the congenital malformations per hospital admission expressed in DRG points was 26,588 (range 0–465,772, SD 40,702) and was significantly higher compared to the other hospitalizations (<i>n</i> = 3,516,961; mean DRG 2194, range 0–834,997; SD 6161; <i>p</i> < 0.05). Surgical conditions requiring timely postnatal surgery place a significant financial burden on the healthcare system. The creation of a dedicated national register could allow for better planning of resource allocation, for improving the outcome of affected children, and for optimizing costs.Paolo GasparellaGeorg SingerBernhard KienesbergerChristoph ArneitzGerhard FülöpChristoph CastellaniHolger TillJohannes SchalamonMDPI AGarticlecongenital malformationsrare diseaseneonatal surgeryhealth systemMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11166, p 11166 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	congenital malformations rare disease neonatal surgery health system Medicine R
spellingShingle	congenital malformations rare disease neonatal surgery health system Medicine R Paolo Gasparella Georg Singer Bernhard Kienesberger Christoph Arneitz Gerhard Fülöp Christoph Castellani Holger Till Johannes Schalamon The Financial Burden of Surgery for Congenital Malformations—The Austrian Perspective
description	Neonatal “surgical” malformations are associated with higher costs than major “non-surgical” birth defects. We aimed to analyze the financial burden on the Austrian health system of five congenital malformations requiring timely postnatal surgery. The database of the Austrian National Public Health Institute for the period from 2002 to 2014 was reviewed. Diagnosis-related group (DRG) points assigned to hospital admissions containing five congenital malformations coded as principal diagnosis (esophageal atresia, duodenal atresia, congenital diaphragmatic hernia, gastroschisis, and omphalocele) were collected and compared to all hospitalizations for other reasons. Out of 3,518,625 total hospitalizations, there were 1664 admissions of patients with the selected malformations. The annual mean number was 128 (SD 17, range 110–175). The mean cost of the congenital malformations per hospital admission expressed in DRG points was 26,588 (range 0–465,772, SD 40,702) and was significantly higher compared to the other hospitalizations (<i>n</i> = 3,516,961; mean DRG 2194, range 0–834,997; SD 6161; <i>p</i> < 0.05). Surgical conditions requiring timely postnatal surgery place a significant financial burden on the healthcare system. The creation of a dedicated national register could allow for better planning of resource allocation, for improving the outcome of affected children, and for optimizing costs.
format	article
author	Paolo Gasparella Georg Singer Bernhard Kienesberger Christoph Arneitz Gerhard Fülöp Christoph Castellani Holger Till Johannes Schalamon
author_facet	Paolo Gasparella Georg Singer Bernhard Kienesberger Christoph Arneitz Gerhard Fülöp Christoph Castellani Holger Till Johannes Schalamon
author_sort	Paolo Gasparella
title	The Financial Burden of Surgery for Congenital Malformations—The Austrian Perspective
title_short	The Financial Burden of Surgery for Congenital Malformations—The Austrian Perspective
title_full	The Financial Burden of Surgery for Congenital Malformations—The Austrian Perspective
title_fullStr	The Financial Burden of Surgery for Congenital Malformations—The Austrian Perspective
title_full_unstemmed	The Financial Burden of Surgery for Congenital Malformations—The Austrian Perspective
title_sort	financial burden of surgery for congenital malformations—the austrian perspective
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/4fe97917d85344c5929c58a535d5c064
work_keys_str_mv	AT paologasparella thefinancialburdenofsurgeryforcongenitalmalformationstheaustrianperspective AT georgsinger thefinancialburdenofsurgeryforcongenitalmalformationstheaustrianperspective AT bernhardkienesberger thefinancialburdenofsurgeryforcongenitalmalformationstheaustrianperspective AT christopharneitz thefinancialburdenofsurgeryforcongenitalmalformationstheaustrianperspective AT gerhardfulop thefinancialburdenofsurgeryforcongenitalmalformationstheaustrianperspective AT christophcastellani thefinancialburdenofsurgeryforcongenitalmalformationstheaustrianperspective AT holgertill thefinancialburdenofsurgeryforcongenitalmalformationstheaustrianperspective AT johannesschalamon thefinancialburdenofsurgeryforcongenitalmalformationstheaustrianperspective AT paologasparella financialburdenofsurgeryforcongenitalmalformationstheaustrianperspective AT georgsinger financialburdenofsurgeryforcongenitalmalformationstheaustrianperspective AT bernhardkienesberger financialburdenofsurgeryforcongenitalmalformationstheaustrianperspective AT christopharneitz financialburdenofsurgeryforcongenitalmalformationstheaustrianperspective AT gerhardfulop financialburdenofsurgeryforcongenitalmalformationstheaustrianperspective AT christophcastellani financialburdenofsurgeryforcongenitalmalformationstheaustrianperspective AT holgertill financialburdenofsurgeryforcongenitalmalformationstheaustrianperspective AT johannesschalamon financialburdenofsurgeryforcongenitalmalformationstheaustrianperspective
_version_	1718432352687882240

The Financial Burden of Surgery for Congenital Malformations—The Austrian Perspective

Ejemplares similares