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

Pekkari, CKarolinska Institutet,Karolinska Inst, Sweden; Folktandvarden Stockholm AB, Sweden (författare)

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

Funding Agencies|Folktandvrden Stockholm AB; Karolinska University Hospital
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.

Lund, BKarolinska Institutet,Karolinska Inst, Sweden; Karolinska Univ Hosp, Sweden (författare)
Davidson, ThomasLinköpings universitet,Malmö universitet,Odontologiska fakulteten (OD),Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden,Avdelningen för samhälle och hälsa,Medicinska fakulteten,Malmo Univ, Sweden(Swepub:liu)thoda76 (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,Karolinska Inst, Sweden; Folktandvarden Stockholm AB, Sweden; Malmo Univ, Sweden(Swepub:mau)aj6331 (författare)
Marcusson, AgnetaLinköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Käkkliniken US(Swepub:liu)agnma12 (författare)
Weiner, C KKarolinska Institutet,Karolinska Inst, Sweden; Gavle Cent Hosp, Sweden (författare)
Karolinska InstitutetKarolinska Inst, Sweden; Folktandvarden Stockholm AB, Sweden (creator_code:org_t)

Ingår i:International Journal of Oral and Maxillofacial Surgery: Elsevier53:10, s. 829-8350901-50271399-0020

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

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Hälso och sjukvå ...

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Kirurgi

Av lärosätet: Malmö universitet; Karolinska Institutet; Linköpings universitet

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