• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2023 Scientific Session Call For Abstracts
      • 2023 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • SAGES 2022
      • SAGES 2021
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Video Based Assessments (VBA)
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy-Coming Soon!
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • Store
    • “Unofficial” Logo Products
  • Log In

Economic Impact of Anastomotic Leaks in Colectomy Procedures in the USA: 2005-2009

Lobat Hashemi, MS, Nilay Mukherjee, PhD, Michael Morseon, MS, Rhea Sirkar. Covidien

 

INTRODUCTION: Colectomy procedures to remove a portion of the large intestine are performed in patients with cancer, diverticulitis, trauma and inflammatory bowel disease. The anastamosis between the joined portions of the large intestine can leak, often with serious consequences for the patient such as peritonitis that can result in prolonged hospital stay and higher complication rates.
METHODS: We identified a set of colectomy procedures most prone to leaks based on a survey of the literature and consulting with colorectal surgeons. We then developed a work structure for these surgeries as well as additional procedures that need to be done in the event of a post-operative leak. Patient profiles were then created from this information in terms of ICD9 procedure codes that are likely to be associated with patients that leaked versus those that did not leak. The Premier Perspective™ Database was used to estimate the incidence and costs of postoperative anastomotic leaks from colectomy procedures, annually, from 2005 to 2009. PPD is the largest hospital-based database in the United States providing detailed resource utilization and cost data. Our study focused on several ICD-9-CM procedures including 45.73 (Open and other right hemicolectomy), 45.76 (Open and other sigmoidectomy), 45.75 (Open and other left hemicolectomy), 48.63 (Other anterior resection of rectum).
RESULTS: A total of 46,788 (19.9%) patients with colectomy procedures had ICD9 codes that suggest an anastomotic leak between 2005 and 2009. Table 1 describes the trend in volume, cost, and hospital length of stay (LOS) for colectomy patients with and without anastomotic leak from 2005 through 2009. The percentage of patients with ICD9 codes suggestive of an anastomotic leak increased from 16.2% in 2005 to 22.1% in 2009. The mean cost per discharge for patients with an anastomotic leak was significantly higher than those patients without leaks each year. Patients with anastomotic leaks cost approximately seventeen thousand dollars more than patients without a leak. Average hospital LOS was significantly lower for patients without leaks than patients with leaks, 8.4 days compared to 14.9 days, respectively. Average hospital LOS stayed relatively flat at 15 days for patients with leaks from 2005 to 2009. Average hospital LOS decreased slightly from 8.9 days in 2005 to 8 days in 2009 for patient without anastomotic leaks.
CONCLUSIONS: Anastomotic leaks present a major clinical problem. Mean cost per discharge and length of stay for patients with an anastomotic leak was significantly higher than the mean cost per discharge for those without a leak. These observations highlight the potential cost advantages of preventing anastomotic leaks for patients undergoing colectomy procedures. 
 

  With Anastomotic Leaks     Without Anastomotic Leaks      
Year N(%) Mean Cost Mean LOS (days) N Mean COst Mean LOS (days) p-value
2005 6,944 (16.2%) $30,731  15.1  35,982  $11,822  8.9 <.001 
2006 9,570 (19.4%) $31,204  14.8  39,637  $12,189  8.5  <.001
2007 9,859 (20.4%)  $32,718  14.8  38,538  $12,782  8.4  <.001
2008 9,529 (21.0%)  $35,943  15.0  35,943  $13,259  8.2  <.001
2009 10,706 (22.1%)  $37,042  15.0  37,829  $13,674  8.0  <.001
All years 46,788 (19.9%)  $33,754  14.9  187,870  $12,751  8.4  <.001

 


Session Number: Poster – Poster Presentations
Program Number: P027
View Poster

1,544

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

« Return to SAGES 2012 abstract archive

Our Mission

Innovate, educate and collaborate to improve patient care.

Recently, on SAGES…

Critical View of Safety (CVS) Challenge QR Code

The SAGES Critical View of Safety Challenge – Donate Your Lap Chole Videos!

The Society of American Gastrointestinal and Endoscopic Surgeons is hosting the first Artificial Intelligence Data Challenge conducted by surgeons. The aim of this challenge is to generate a large and diverse dataset of laparoscopic cholecystectomy videos, annotated with respect to the subcomponents of the Critical View of Safety (CVS). Computer scientists from all over the […]

Respuesta de SAGES al Estudio NordICC sobre el beneficio de las colonoscopias de detección

SAGES desea aclarar los resultados del estudio NordICC y colocarlos en contexto de los esfuerzos de varias agencias nacionales para reducir el riesgo de cáncer colorrectal – la segunda causa de muerte por cáncer más frecuente en los Estados Unidos-, mediante la promoción de la detección y tratamiento oportuno de las lesiones.

SAGES Response to NordICC Study Regarding Benefit of Screening Colonoscopies

The NordICC Study recently published in The New England Journal of Medicine and widely reported on by media outlets has raised questions regarding the benefit of screening colonoscopy in lowering the risk of colorectal cancer and cancer-related deaths among otherwise healthy and symptom-free men and women aged 55 to 64. Provocative headlines and commentaries have […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
webmaster@sages.org
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2023 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons