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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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Contribution to journal
publication status
published
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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&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    = {{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}},
}