What factors influence intraoperative and postoperative costs associated with total laryngectomy (TL) and bilateral neck dissection (BND)?
Background: Given the current environment of health care reform, the ability to respond to the financial challenges ahead requires an understanding of the drivers of cost variation for surgical procedures. Only by examining both the costs associated with specific hospital services in the intraoperative and postoperative period and the impact of patient factors on hospital costs can clinical pathways be adjusted to reduce the cost of health care delivery.
Explore this issue:May 2011
This is the first study to undertake cost-identification analysis for a specific head and neck procedure, total laryngectomy with primary closure and bilateral neck dissection.
Study Design: This is a retrospective chart review of cost data for 112 patients identified in the Pittsburgh Head and Neck Organ-Specific Database undergoing TL/BND from 1999-2009.