Patient education after stoma creation may reduce health-care costs
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Patient education after stoma creation may reduce health-care costs. / Danielsen, Anne Kjærgaard; Rosenberg, Jacob.
In: Danish Medical Journal, Vol. 61, No. 4, A4659, 04.2014, p. 1-5.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Patient education after stoma creation may reduce health-care costs
AU - Danielsen, Anne Kjærgaard
AU - Rosenberg, Jacob
PY - 2014/4
Y1 - 2014/4
N2 - INTRODUCTION: Researchers are urged to include health-economic assessments when exploring the benefits and drawbacks of a new treatment. The aim of the study was to assess the costs associated with the establishment of a new patient education programme for patients with a stoma.MATERIAL AND METHODS: Following a previous case-control study that explored the effect of patient education for stoma patients, we set out to examine the costs related to such a patient education programme. The primary outcome was disease-specific health-related quality of life measured with the Ostomy Adjustment Scale six months after surgery. The secondary outcome was generic health-related quality of life measured with Short Form (SF)-36. In this secondary analysis, we calculated direct health-care costs for the first six months post-operatively from the perspective of the health-care system, including costs related to the hospital as well as primary health care.RESULTS: The overall cost related to establishing a patient education programme showed no significant increase in the overall average costs. However, we found a significant reduction in costs related to unplanned readmissions (p = 0.01) as well as a reduction in visits to the general practitioner (p = 0.05).CONCLUSION: Establishing a patient education programme - which increased quality of life - will probably not increase the overall costs associated with the patient course.FUNDING: The study received financial support from Søster Inge Marie Dahlgaards Fond, Diakonissestiftelsen, Denmark, and from Aase and Ejnar Danielsens Foundation, Denmark.TRIAL REGISTRATION: NCT01154725.
AB - INTRODUCTION: Researchers are urged to include health-economic assessments when exploring the benefits and drawbacks of a new treatment. The aim of the study was to assess the costs associated with the establishment of a new patient education programme for patients with a stoma.MATERIAL AND METHODS: Following a previous case-control study that explored the effect of patient education for stoma patients, we set out to examine the costs related to such a patient education programme. The primary outcome was disease-specific health-related quality of life measured with the Ostomy Adjustment Scale six months after surgery. The secondary outcome was generic health-related quality of life measured with Short Form (SF)-36. In this secondary analysis, we calculated direct health-care costs for the first six months post-operatively from the perspective of the health-care system, including costs related to the hospital as well as primary health care.RESULTS: The overall cost related to establishing a patient education programme showed no significant increase in the overall average costs. However, we found a significant reduction in costs related to unplanned readmissions (p = 0.01) as well as a reduction in visits to the general practitioner (p = 0.05).CONCLUSION: Establishing a patient education programme - which increased quality of life - will probably not increase the overall costs associated with the patient course.FUNDING: The study received financial support from Søster Inge Marie Dahlgaards Fond, Diakonissestiftelsen, Denmark, and from Aase and Ejnar Danielsens Foundation, Denmark.TRIAL REGISTRATION: NCT01154725.
KW - Costs and Cost Analysis
KW - Health Care Costs
KW - Humans
KW - Patient Education as Topic
KW - Quality of Life
KW - Surgical Stomas
M3 - Journal article
C2 - 24814582
VL - 61
SP - 1
EP - 5
JO - Danish Medical Journal
JF - Danish Medical Journal
SN - 2245-1919
IS - 4
M1 - A4659
ER -
ID: 138384790