Kostenanalyse von Patienten mit chirurgischer Korrektur einer Ösophagusatresie oder Gastroschisis anhand von GKV-Routinedaten

verfasst von

J. Dietrich, J. Zeidler, C. Dingemann, J. Blaser, J. H. Gosemann, B. Ure, M. Lacher, J. M. Graf von der Schulenburg

Abstract

Aim: Esophageal atresia and gastroschisis are rare congenital malformations which require surgical correction immediately after birth. Postoperative complications can affect the quality of life of these children and may result in life-long medical care. This causes additional costs for the healthcare system. Due to the lack of cost analyses of this issue the aim of the study was to analyze patients with neonatal surgical operations such as the repair of an esophageal atresia and gastroschisis. Method: All inpatient billing and performance processes were analyzed in form of claims data from the Technician Health Insurance (TK) during the period from January 2007 to August 2012. TK is the largest of its kind accounting for approximately 10 % of the German population (~9 million clients). Results: 60 esophageal atresia and 39 gastroschisis patients were identified. Our study showed that the complicated cases caused far more costs for the healthcare system than the uncomplicated cases. The costs of a complicated esophageal atresia were almost three times higher than those of an uncomplicated esophageal atresia. Thus, a complicated case cost an average of € 119 755, an uncomplicated case caused an average of € 41 679. In addition, higher costs for children with long-gap esophageal atresia and for secondary surgical closures of the abdominal wall of gastroschisis patients were calculated. Conclusion: In summary, postoperative complications are a financial burden for the payers of the health sector and therefore the decrease of surgical complications is necessary.

Organisationseinheit(en)

Center for Health Economics Research Hannover (CHERH)

Externe Organisation(en)

Medizinische Hochschule Hannover (MHH)
Techniker Krankenkasse Niedersachsen
Universitätsklinikum Leipzig

Typ

Artikel

Journal

Gesundheitsokonomie und Qualitatsmanagement

Band

21

Seiten

242-249

Anzahl der Seiten

8

ISSN

1432-2625

Publikationsdatum

10.2016

Publikationsstatus

Veröffentlicht

Peer-reviewed

Ja

ASJC Scopus Sachgebiete

Health policy

Ziele für nachhaltige Entwicklung

SDG 3 – Gute Gesundheit und Wohlergehen

Elektronische Version(en)

https://doi.org/10.1055/s-0042-103537 (Zugang: Geschlossen)