Long-term follow-up and cost analysis following surgery for small bowel obstruction caused by intra-abdominal adhesions.
(2007) In British Journal of Surgery 94. p.743-748- Abstract
- Background: This study examined the natural course of patients following surgery for small bowel obstruction (SBO) caused by abdominal adhesions. In addition, a cost analysis was performed. Methods: A retrospective analysis was undertaken of 102 patients who underwent surgery between 1987 and 1992 for intestinal obstruction due to abdominal adhesions. Results: Median follow-up was 14 years. The 102 patients experienced 273 episodes of intestinal obstruction after the index operation, of which 237 involved inpatient readmissions; 47.3 percent of the episodes resulted in further surgery. Single band adhesions were more common in patients with no previous abdominal surgery (P<0.001). Some 52.0 per cent of the patients had undergone only... (More)
- Background: This study examined the natural course of patients following surgery for small bowel obstruction (SBO) caused by abdominal adhesions. In addition, a cost analysis was performed. Methods: A retrospective analysis was undertaken of 102 patients who underwent surgery between 1987 and 1992 for intestinal obstruction due to abdominal adhesions. Results: Median follow-up was 14 years. The 102 patients experienced 273 episodes of intestinal obstruction after the index operation, of which 237 involved inpatient readmissions; 47.3 percent of the episodes resulted in further surgery. Single band adhesions were more common in patients with no previous abdominal surgery (P<0.001). Some 52.0 per cent of the patients had undergone only one operation for SBO. A mean of 2.7 episodes per patient occurred after the index operation. The cost of adhesion-related problems in this study was 588594 or 6702 per inpatient episode. Conclusion: The readmission rate in a selected cohort of patients with proven intra-abdominal adhesions was higher than reported previously. The annual cost of adhesion-related problems in Sweden was estimated as 39.9-59.5 million, and the cost of inpatient readmissions was almost equal to that for gastric cancer. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/166904
- author
- Tingstedt, Bobby LU ; Isaksson, J and Andersson, Roland LU
- organization
- publishing date
- 2007
- type
- Contribution to journal
- publication status
- published
- subject
- in
- British Journal of Surgery
- volume
- 94
- pages
- 743 - 748
- publisher
- Oxford University Press
- external identifiers
-
- wos:000247152400016
- scopus:34250361363
- ISSN
- 1365-2168
- DOI
- 10.1002/bjs.5634
- language
- English
- LU publication?
- yes
- id
- cb18da26-ed89-40fa-b7aa-6abc69fd5603 (old id 166904)
- alternative location
- http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=17330836&dopt=Abstract
- date added to LUP
- 2016-04-01 11:58:27
- date last changed
- 2022-04-05 07:45:04
@article{cb18da26-ed89-40fa-b7aa-6abc69fd5603, abstract = {{Background: This study examined the natural course of patients following surgery for small bowel obstruction (SBO) caused by abdominal adhesions. In addition, a cost analysis was performed. Methods: A retrospective analysis was undertaken of 102 patients who underwent surgery between 1987 and 1992 for intestinal obstruction due to abdominal adhesions. Results: Median follow-up was 14 years. The 102 patients experienced 273 episodes of intestinal obstruction after the index operation, of which 237 involved inpatient readmissions; 47.3 percent of the episodes resulted in further surgery. Single band adhesions were more common in patients with no previous abdominal surgery (P<0.001). Some 52.0 per cent of the patients had undergone only one operation for SBO. A mean of 2.7 episodes per patient occurred after the index operation. The cost of adhesion-related problems in this study was 588594 or 6702 per inpatient episode. Conclusion: The readmission rate in a selected cohort of patients with proven intra-abdominal adhesions was higher than reported previously. The annual cost of adhesion-related problems in Sweden was estimated as 39.9-59.5 million, and the cost of inpatient readmissions was almost equal to that for gastric cancer.}}, author = {{Tingstedt, Bobby and Isaksson, J and Andersson, Roland}}, issn = {{1365-2168}}, language = {{eng}}, pages = {{743--748}}, publisher = {{Oxford University Press}}, series = {{British Journal of Surgery}}, title = {{Long-term follow-up and cost analysis following surgery for small bowel obstruction caused by intra-abdominal adhesions.}}, url = {{https://lup.lub.lu.se/search/files/2726443/625910.pdf}}, doi = {{10.1002/bjs.5634}}, volume = {{94}}, year = {{2007}}, }