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Optimization of Health Expenditure in Major Surgery: Impact of a Mixed, Clinical and Ethnographic Approach in the Model of Liver Surgery


N/A
18 Years
N/A
Open (Enrolling)
Both
Hepatocellular Carcinoma, Hilar Cholangiocarcinoma, Intra Hepatic Cholangiocarcinoma, Liver Metastasis

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Trial Information

Optimization of Health Expenditure in Major Surgery: Impact of a Mixed, Clinical and Ethnographic Approach in the Model of Liver Surgery


a new dimension of the activity expected of physicians is to improve the safety of care on
the one hand and the control of health care costs on the other.

key measures to help them are the publication of national recommendations, assessment of
actual practices and the incentive to activity.

Internationalwide recent and concordant data suggest that

- quality and security of care, after an initial improvement, are going to stall

- scientific recommendations are rarely validated by an impact analysis and are not
applied

- clinical data collected within an administrative framework are unreliable and too
generalist

- the evaluation, especially in the surgical field, is based on indicators sometimes
irrelevant and often unclear


Inclusion Criteria:



- elective liver surgery

- older than 18

- agreed to participate

- surgical procedure included procedures registered as "HLFA003 - 007 ; 009 - 011 ; 017
- 020 ; HLFC002 à 004 ; 027 ; 032 ; 037" in the PMSI database

Exclusion Criteria:

- emergency surgery

- refused to participate

Type of Study:

Observational

Study Design:

Observational Model: Cohort, Time Perspective: Prospective

Outcome Measure:

overall postoperative length of stay

Outcome Description:

the overall postoperative length of stay is defined as the hospitalization between the surgery and patient's discharge. This period includes the readmission for at least 24 hours in case of outcomes related to the surgery.

Outcome Time Frame:

during the 3 months after the surgery

Safety Issue:

No

Authority:

France: Commission nationale de l'informatique et des libertés

Study ID:

AOM 11060

NCT ID:

NCT01715402

Start Date:

September 2012

Completion Date:

December 2014

Related Keywords:

  • Hepatocellular Carcinoma
  • Hilar Cholangiocarcinoma
  • Intra Hepatic Cholangiocarcinoma
  • Liver Metastasis
  • liver tumor
  • carcinoma
  • cholangiocarcinoma
  • metastasis
  • Carcinoma
  • Neoplasm Metastasis
  • Cholangiocarcinoma
  • Klatskin's Tumor
  • Liver Neoplasms
  • Carcinoma, Hepatocellular

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