The impact of frailty on the economic evaluation of geriatric surgery: hospital costs and opportunity costs based on meta-analysis
Objectives: We used a systematic review and meta-analysis to analyze the difference in costs between surgery for frail and non-frail elderly patients. The opportunity cost of frailty in geriatric surgery is estimated using the results. Methodology: Two literature reviews were carried out between 200...
| Autores: | , |
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| Tipo de recurso: | artículo |
| Fecha de publicación: | 2020 |
| País: | España |
| Institución: | Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
| Repositorio: | Recercat. Dipósit de la Recerca de Catalunya |
| OAI Identifier: | oai:recercat.cat:20.500.12328/4567 |
| Acceso en línea: | http://hdl.handle.net/20.500.12328/4567 https://dx.doi.org/10.1080/13696998.2020.1764965 |
| Access Level: | acceso abierto |
| Palabra clave: | Fragilitat Cirurgia geriàtrica Cost d'oportunitat Despeses hospitalàries Durada de l'estada hospitalària Fragilidad Cirugía geriátrica Costo de oportunidad Costos hospitalarios Duración de la estadía hospitalaria Frailty Geriatric surgery Opportunity cost Hospital costs Length of hospital stay 61 |
| Sumario: | Objectives: We used a systematic review and meta-analysis to analyze the difference in costs between surgery for frail and non-frail elderly patients. The opportunity cost of frailty in geriatric surgery is estimated using the results. Methodology: Two literature reviews were carried out between 2000 and 2019: (1) studies comparing total hospital costs of frail and non-frail surgical patients; (2) studies evaluating the length of hospital stay and cost for surgical geriatric patients. We performed a meta-analysis of the items selected in the first review. We subsequently calculated the opportunity cost of frail patients, based on the design of a cost/time variable. Results: Twelve articles in the first review were selected (272,717 non-frail and 16,461 frail). Fourteen articles were selected from the second review. Frail patients had higher hospital costs than non-frail patients (22,282.541 € and 16,388.844, p < .001) and a longer hospital stay (10.16 days and 8.4 (p < .001)). The estimated opportunity cost in frail patients is 1,019.56 € (cost/time unit factor of 579.30 €/day). Conclusions: Frail surgical geriatric patients generate a higher total hospital cost, and an opportunity cost arising from not operating in the best possible state of health. Preoperatively treating the frailty of elderly patients will improve the use of health resources |
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