Cost analysis of orthognathic surgery: outpatient care versus inpatient care.

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Pekkari, CDepartment of Dental Medicine, Division of Oral Diagnostics and Rehabilitation, Karolinska Institutet, Huddinge, Sweden; Department of Oral and Maxillofacial Surgery, Eastman Institute, Folktandvården Stockholm AB, Stockholm, Sweden (författare)

Cost analysis of orthognathic surgery : outpatient care versus inpatient care.

Artikel/kapitelEngelska2024

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2024
Elsevier,2024
printrdacarrier

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LIBRIS-ID:oai:DiVA.org:mau-66696
https://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-66696URI
https://doi.org/10.1016/j.ijom.2024.02.005DOI

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Språk:engelska
Sammanfattning på:engelska

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Ämneskategori:art swepub-publicationtype

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With limited healthcare resources, it is important to provide the right level and form of care. The aim of this study was to determine whether selected single-jaw orthognathic surgery in outpatient care (OPC) generates lower healthcare costs than in inpatient care (IPC). The costs of surgically assisted rapid maxillary expansion (SARME), Le Fort I osteotomy (LFI), and bilateral sagittal split osteotomy (BSSO) were calculated for 165 patients, 107 treated in OPC and 58 in IPC. Additionally, costs for revisits, emergency visits, emergency phone calls, re-operations, and plate removal during the first 12 months postoperatively were recorded. The total mean costs of the different operations including revisits, emergency visits, and phone calls were 34.2-48.8% lower in OPC than in IPC at 12 months postoperatively. Operation costs were lower for LFI in OPC (P = 0.009) and for SARME in IPC (P = 0.007). Anaesthesia costs were lower for LFI (P < 0.001) and BSSO (P < 0.001) in OPC, and there were fewer revisits (P = 0.001) and lower costs (P = 0.002) after LFI in OPC compared to IPC. This study showed that selected single-jaw orthognathic surgeries in outpatient care are associated with lower healthcare costs compared to inpatient care.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Health Care Service and Management, Health Policy and Services and Health Economy hsv//eng
Cost comparison
Cost measures
Cost minimization analysis
Costs and cost analysis
Day care
Inpatients
Orthognathic surgery
Outpatient care

Biuppslag (personer, institutioner, konferenser, titlar ...)

Lund, BDepartment of Dental Medicine, Division of Oral Diagnostics and Rehabilitation, Karolinska Institutet, Huddinge, Sweden; Medical Unit of Plastic Surgery and Oral and Maxillofacial Surgery, Karolinska University Hospital, Stockholm, Sweden (författare)
Davidson, TMalmö universitet,Odontologiska fakulteten (OD),Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden (författare)
Naimi-Akbar, AronMalmö universitet,Odontologiska fakulteten (OD),Department of Dental Medicine, Division of Oral Diagnostics and Rehabilitation, Karolinska Institutet, Huddinge, Sweden; Department of Oral and Maxillofacial Surgery, Eastman Institute, Folktandvården Stockholm AB, Stockholm, Sweden(Swepub:mau)aj6331 (författare)
Marcusson, AMaxillofacial Unit in Linköping, and Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden (författare)
Weiner, C KDepartment of Dental Medicine, Division of Oral Diagnostics and Rehabilitation, Karolinska Institutet, Huddinge, Sweden; Department of Oral and Maxillofacial Surgery, Gävle Hospital, Folktandvården Gävleborg, Gävleborg, Sweden (författare)
Department of Dental Medicine, Division of Oral Diagnostics and Rehabilitation, Karolinska Institutet, Huddinge, Sweden; Department of Oral and Maxillofacial Surgery, Eastman Institute, Folktandvården Stockholm AB, Stockholm, SwedenDepartment of Dental Medicine, Division of Oral Diagnostics and Rehabilitation, Karolinska Institutet, Huddinge, Sweden; Medical Unit of Plastic Surgery and Oral and Maxillofacial Surgery, Karolinska University Hospital, Stockholm, Sweden (creator_code:org_t)

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Ingår i:International Journal of Oral and Maxillofacial Surgery: Elsevier0901-50271399-0020

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Av författaren/redakt...: Pekkari, C; Lund, B; Davidson, T; Naimi-Akbar, Aro ...; Marcusson, A; Weiner, C K

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