Comprehensive economic evaluation of enhanced recovery after surgery in hepatectomy

Abstract Background Enhanced recovery after surgery (ERAS) is attracting extensive attention and being widely applied to reduce postoperative stress and accelerate recovery. However, the economic benefits of ERAS are less clarified at the social level. We aimed to assess the economic impact of ERAS...

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Autores principales:	Yihan Dong, Yan Zhang, Chengcheng Jin
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Enhanced recovery after surgery Hepatectomy Economic evaluation Social benefit Multiple perspective Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/fe527c79b72b44a68fb4250aeacf3630
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spelling	oai:doaj.org-article:fe527c79b72b44a68fb4250aeacf36302021-11-14T12:14:59ZComprehensive economic evaluation of enhanced recovery after surgery in hepatectomy10.1186/s12939-021-01583-31475-9276https://doaj.org/article/fe527c79b72b44a68fb4250aeacf36302021-11-01T00:00:00Zhttps://doi.org/10.1186/s12939-021-01583-3https://doaj.org/toc/1475-9276Abstract Background Enhanced recovery after surgery (ERAS) is attracting extensive attention and being widely applied to reduce postoperative stress and accelerate recovery. However, the economic benefits of ERAS are less clarified at the social level. We aimed to assess the economic impact of ERAS in hepatectomy from the perspectives of patients, hospitals and society, as well as identify the approach to create the economic benefits of ERAS. Methods By combining the literature and national statistical data, the cost-effectiveness framework was clarified, and parameter values were determined. Cost-effectiveness analysis, cost–benefit analysis and cost-minimisation analysis were used to compare ERAS and conventional treatment from the perspectives of patients, hospitals and society. The capital flow diagram was used to analyse the change between them. Results ERAS significantly reduced the economic burden of disease on patients ($8935.02 vs $10,470.02). The hospital received an incremental benefit in ERAS (the incremental benefit cost ratio value is 1.09), and the total social cost was reduced ($5958.67 vs $6725.80). Capital flow diagram analysis demonstrated that the average daily cost per capita in the ERAS group increased ($669.51 vs $589.98), whereas the benefits depended on the reduction of hospital stay and productivity loss. Conclusion The mechanism by which ERAS works is to reduce the average length of stay, thereby reducing the economic burden and productivity loss on patients and promoting the hospital bed turnover rate. Therefore, ERAS should further focus on accelerating the rehabilitation process, and more economic support (such as subsidies) should be given to hospitals to carry out ERAS.Yihan DongYan ZhangChengcheng JinBMCarticleEnhanced recovery after surgeryHepatectomyEconomic evaluationSocial benefitMultiple perspectivePublic aspects of medicineRA1-1270ENInternational Journal for Equity in Health, Vol 20, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Enhanced recovery after surgery Hepatectomy Economic evaluation Social benefit Multiple perspective Public aspects of medicine RA1-1270
spellingShingle	Enhanced recovery after surgery Hepatectomy Economic evaluation Social benefit Multiple perspective Public aspects of medicine RA1-1270 Yihan Dong Yan Zhang Chengcheng Jin Comprehensive economic evaluation of enhanced recovery after surgery in hepatectomy
description	Abstract Background Enhanced recovery after surgery (ERAS) is attracting extensive attention and being widely applied to reduce postoperative stress and accelerate recovery. However, the economic benefits of ERAS are less clarified at the social level. We aimed to assess the economic impact of ERAS in hepatectomy from the perspectives of patients, hospitals and society, as well as identify the approach to create the economic benefits of ERAS. Methods By combining the literature and national statistical data, the cost-effectiveness framework was clarified, and parameter values were determined. Cost-effectiveness analysis, cost–benefit analysis and cost-minimisation analysis were used to compare ERAS and conventional treatment from the perspectives of patients, hospitals and society. The capital flow diagram was used to analyse the change between them. Results ERAS significantly reduced the economic burden of disease on patients ($8935.02 vs $10,470.02). The hospital received an incremental benefit in ERAS (the incremental benefit cost ratio value is 1.09), and the total social cost was reduced ($5958.67 vs $6725.80). Capital flow diagram analysis demonstrated that the average daily cost per capita in the ERAS group increased ($669.51 vs $589.98), whereas the benefits depended on the reduction of hospital stay and productivity loss. Conclusion The mechanism by which ERAS works is to reduce the average length of stay, thereby reducing the economic burden and productivity loss on patients and promoting the hospital bed turnover rate. Therefore, ERAS should further focus on accelerating the rehabilitation process, and more economic support (such as subsidies) should be given to hospitals to carry out ERAS.
format	article
author	Yihan Dong Yan Zhang Chengcheng Jin
author_facet	Yihan Dong Yan Zhang Chengcheng Jin
author_sort	Yihan Dong
title	Comprehensive economic evaluation of enhanced recovery after surgery in hepatectomy
title_short	Comprehensive economic evaluation of enhanced recovery after surgery in hepatectomy
title_full	Comprehensive economic evaluation of enhanced recovery after surgery in hepatectomy
title_fullStr	Comprehensive economic evaluation of enhanced recovery after surgery in hepatectomy
title_full_unstemmed	Comprehensive economic evaluation of enhanced recovery after surgery in hepatectomy
title_sort	comprehensive economic evaluation of enhanced recovery after surgery in hepatectomy
publisher	BMC
publishDate	2021
url	https://doaj.org/article/fe527c79b72b44a68fb4250aeacf3630
work_keys_str_mv	AT yihandong comprehensiveeconomicevaluationofenhancedrecoveryaftersurgeryinhepatectomy AT yanzhang comprehensiveeconomicevaluationofenhancedrecoveryaftersurgeryinhepatectomy AT chengchengjin comprehensiveeconomicevaluationofenhancedrecoveryaftersurgeryinhepatectomy
_version_	1718429385607872512

Comprehensive economic evaluation of enhanced recovery after surgery in hepatectomy

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