Optimization of Health Expenditure in Liver Surgery

Centre Hospitalier Universitaire, Amiens

Status: Unknown

Conditions: Liver Metastasis; Hepatocellular Carcinoma; Intra Hepatic Cholangiocarcinoma; Hilar Cholangiocarcinoma

Treatments: Procedure: liver surgery

Study type: Observational

Funder types: Other

Identifiers

NCT01715402

AOM 11060

Details and patient eligibility

About

The aim of this study is to reduce the length of stay after liver surgery by taking account of objective quantitative clinical variables, subjective qualitative clinical variables and non clinical variables.

Full description

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

Enrollment: 3,000 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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

Trial design

3,000 participants in 1 patient group

operated patients

Description:

this cohort includes patients who underwent a liver surgery whatever the pathology and whatever the surgical procedure

Treatment:

Procedure: liver surgery