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Research Article
Aline Lariessy Campos Paiva
Faculdade de Ciências Médicas da Santa Casa de São Paulo: Faculdade de Ciencias Medicas da Santa Casa de Sao Paulo
Corresponding Author
ORCiD: https://orcid.org/0000-0002-1228-531X
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Purpose
In low- and middle-income countries, there is a lack of data on neurosurgical costs. These data are relevant to help international cooperation, especially for huge trials. This study aims to estimate the direct cost of an adult neurooncological patient during hospital admission in the largest philanthropic hospital in Latin America.
Methods
This observational economic analysis describes the direct cost of a neurooncological patient at Santa Casa de São Paulo, Brazil. For this analysis, only adult patients with the two more common primary brain tumors were considered.
Results
Between January 2008 and December 2019 a total of 1279 charts were reviewed. 53.57% were female patients. Most patients had an age range between 56 and 65 years (22.5%). A statistically significant sample of patients with meningiomas and gliomas were analyzed. The estimated mean cost of neurosurgical hospitalization was U$ 4.166. The operating room and ICU costs represented the largest proportion of the total cost (29.24% and 24.95%, respectively). 17.5% of patients had some types of infection and 66.67% them occurred in nonelective procedures. The mortality rate was 12.7% and 92.3% occurred in emergency procedures.
Conclusions
This study evaluated the cost of oncological neurosurgical patients. The operating room was the most expensive variable, followed by the ICU hospitalization period. Surgery performed in an emergency was more associated with infections and mortality. Findings from this study could be used by stakeholders and policymakers for resource allocation and to perform economic analyses to establish the value of neurosurgery in achieving global health goals.
Keywords
costs, brain tumor, neurosurgery, glioma, meningioma.
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A new preprint design is coming!
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This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Research Article
Aline Lariessy Campos Paiva
Faculdade de Ciências Médicas da Santa Casa de São Paulo: Faculdade de Ciencias Medicas da Santa Casa de Sao Paulo
Corresponding Author
ORCiD: https://orcid.org/0000-0002-1228-531X
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 30 Mar, 2021
No community comments so far
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Purpose
In low- and middle-income countries, there is a lack of data on neurosurgical costs. These data are relevant to help international cooperation, especially for huge trials. This study aims to estimate the direct cost of an adult neurooncological patient during hospital admission in the largest philanthropic hospital in Latin America.
Methods
This observational economic analysis describes the direct cost of a neurooncological patient at Santa Casa de São Paulo, Brazil. For this analysis, only adult patients with the two more common primary brain tumors were considered.
Results
Between January 2008 and December 2019 a total of 1279 charts were reviewed. 53.57% were female patients. Most patients had an age range between 56 and 65 years (22.5%). A statistically significant sample of patients with meningiomas and gliomas were analyzed. The estimated mean cost of neurosurgical hospitalization was U$ 4.166. The operating room and ICU costs represented the largest proportion of the total cost (29.24% and 24.95%, respectively). 17.5% of patients had some types of infection and 66.67% them occurred in nonelective procedures. The mortality rate was 12.7% and 92.3% occurred in emergency procedures.
Conclusions
This study evaluated the cost of oncological neurosurgical patients. The operating room was the most expensive variable, followed by the ICU hospitalization period. Surgery performed in an emergency was more associated with infections and mortality. Findings from this study could be used by stakeholders and policymakers for resource allocation and to perform economic analyses to establish the value of neurosurgery in achieving global health goals.
Figure 1
Figure 2
Figure 3
Figure 4
Figure 5
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