The Cost and Burden of Adhesiolysis in the US
Author Information
Author(s): Sikirica Vanja, Bapat Bela, Candrilli Sean D, Davis Keith L, Wilson Malcolm, Johns Alan
Primary Institution: Shire Pharmaceuticals
Hypothesis
This study examines the inpatient burden of adhesiolysis in the United States, including the number and rate of events, cost, and length of stay.
Conclusion
Adhesiolysis remains a significant surgical problem in the United States, leading to high direct surgical costs.
Supporting Evidence
- 351,777 adhesiolysis-related hospitalizations were identified in the US in 2005.
- The average length of stay for primary adhesiolysis was 7.8 days.
- Inpatient expenditures totaled $2.3 billion for adhesiolysis-related procedures.
- 46.3% of secondary adhesiolysis procedures involved the female reproductive tract.
- Hospitalizations for adhesiolysis increased steadily with age.
Takeaway
Adhesiolysis is when scar tissue forms after surgery, causing problems that lead to many hospital visits and high costs.
Methodology
Hospital discharge data for patients with primary and secondary adhesiolysis were analyzed using the 2005 Healthcare Cost and Utilization Project's Nationwide Inpatient Sample.
Potential Biases
The quality of coding may be influenced by reimbursement incentives, which could affect the results.
Limitations
The study is subject to potential limitations consistent with retrospective database studies, including underreporting of conditions and reliance on diagnosis codes.
Participant Demographics
Hospitalizations increased with age, with women having higher rates than men.
Digital Object Identifier (DOI)
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