Ökonomische Aspekte der onkologischen Ösophaguschirurgie

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• 作者：N. von Dercks ; Prof. Dr. I. Gockel ; M. Mehdorn ; D. Lorenz
• 关键词：SchlüsselwörterOnkologische Ösophagusresektion ; Ökonomische Aspekte ; Mindestmengengrenzen des G‑BA (Gemeinsamer Bundesausschuss) ; Fallzahlvolumen ; Ergebnisqualität – Kosten
• 刊名：Der Chirurg
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：88
• 期：1
• 页码：62-69
• 全文大小：
• 刊物类别：Medicine
• 刊物主题：Surgery; Cardiac Surgery; Pediatric Surgery; Plastic Surgery; Traumatic Surgery; Vascular Surgery;
• 出版者：Springer Medizin
• ISSN：1433-0385
• 卷排序：88

文摘

The incidence of esophageal carcinoma has increased in recent years in Germany. The aim of this article is a discussion of the economic aspects of oncological esophageal surgery within the German diagnosis-related groups (DRG) system focusing on the association between minimum caseload requirements and outcome quality as well as costs. The margins for the DRG classification G03A are low and quickly exhausted if complications determine the postoperative course. A current study using nationwide German hospital discharge data proved a significant difference in hospital mortality between clinics with and without achieving the minimum caseload requirements for esophagectomy. Data from the USA clearly showed that besides patient-relevant parameters, the caseload of a surgeon is relevant for the cost of treatment. Such cost-related analyses do not exist in Germany at present. Scientific validation of reliable minimum caseload numbers for oncological esophagectomy is desirable in the future.