ECONOMIC BURDEN OF PROLONGED AIR LEAK AFTER LUNG RESECTION- OPEN VERSUS VIDEO-ASSISTED THORACOSCOPIC SURGERY (VATS)

Author(s)

Swanson S1, Miller D2, McKenna R3, Meyers B4, Marshall MB5, Ghosh SK6, Fegelman E7, Roy S8, Ryan M9, Gunnarsson C9, Howington JA10
1Brigham and Women's Hospital and the Dana Farber Cancer Institute, Old Greenwich, CT, USA, 2Emory University, Atlanta, GA, USA, 3Cedars-Sinai Medical Center, Los Angeles, CA, USA, 4Washington University, Creve Coeur, MO, USA, 5Georgetown University Medical Center, Washington DC, DC, USA, 6Ethicon Surgical Care, Johnson & Johnson, Cincinnati, OH, USA, 7Ethicon, Cincinnati, OH, USA, 8Johnson & Johnson Global Surgery Group, Somerville, NJ, USA, 9S2 Statistical Solutions, Inc., Cincinnati, OH, USA, 10NorthShore University HealthSystem, Evanston, IL, USA

OBJECTIVES: Prolonged air leak (PAL) following lung resection results in increased length of stay (LOS), morbidity and costs. Pulmonary resection can be performed open or by video-assisted thoracic surgery (VATS).  This study quantifies the total healthcare utilization and expenditures in patients who experienced a PAL after undergoing lung resection. METHODS: This study utilized administrative health claims data from MarketScan® commercial and Medicare databases from 2009-2011. Patients were included if they underwent a lobectomy, segmentectomy or wedge resection. Patients were classified as having a PAL if LOS was greater than 5 days with a simultaneous ICD-9 code of 512.1 or 512.2 for pneumothorax. Data were analyzed on complications, LOS, readmission, and expenditures. Multivariable logistic regression analysis modeled for the binary outcome of PAL (yes or no). Expenditures and LOS were modeled using generalized linear models with a gamma distribution and log-link. RESULTS:

Conference/Value in Health Info

2014-05, ISPOR 2014, Palais des Congres de Montreal

Value in Health, Vol. 17, No. 3 (May 2014)

Code

PCN71

Topic

Economic Evaluation

Topic Subcategory

Cost/Cost of Illness/Resource Use Studies

Disease

Oncology

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