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Long-term follow-up and cost analysis following surgery for small bowel obstruction caused by intra-abdominal adhesions.

Tingstedt, Bobby LU ; Isaksson, J and Andersson, Roland LU (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)
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author
organization
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type
Contribution to journal
publication status
published
subject
in
British Journal of Surgery
volume
94
pages
743 - 748
publisher
John Wiley & Sons
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
2007-07-24 11:21:40
date last changed
2017-09-03 03:44:12
@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&lt;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    = {John Wiley & Sons},
  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          = {http://dx.doi.org/10.1002/bjs.5634},
  volume       = {94},
  year         = {2007},
}