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Effects of health economics in perioperative fast-track surgery programme on patients with gastric cancer |
LIU Xia1,TANG Yun2,QIA0 Zhi2,WU Xiansheng2,and LIU Lin2 |
1.Department of Economic Management; 2. Department of General Surgery, Hainan Branch of PLA General Hospital,Sanya 572013,China |
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Abstract Objective To evaluate the effects of perioperative fast-track surgery programme on health economics in patients with gastric cancer. Methods Eighty-two patients were randomly allocated into two groups.The first group (n=41) as FTS group received a treatment of perioperative fast-track surgery programme and the second group (n=41) as control group received a conventional therapy. The postoperative hospital stay,hospitalization expenditure and postoperative complications were compared between the two groups. Results The postoperative hospital stay was obviously shortened in FTS group compared with control group[(9.4±3.3) d vs (12.4±3.6) d,P=0.0002].Hospitalization expenditure in FTS group was lower than that in control group(P<0.0001).The complications were not significantly different between the two groups(P=0.232). Conclusions Perioperative fast-track surgery programme can accelerate postoperative rehabilitation and reduce the cost of medical treatment in gastric cancer patients.
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Received: 10 May 2014
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Wilmore D W.From Cathbertson to Fast-Track Surgery: 70 years of progression in reducing stress in surgical patients[J]. Ann Surg, 2002, 236(5): 643-648.
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Sagar P M, Kruegener G, Macfie J.Nasogastric intubation and elective abdominal Surgery[J].Br J Sury,1992,79(11):1127-1131.
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Correia M I, Waitzberg D L. The impact of malnutrition on morbidity,mortality,length of hospital stay and costs evaluated through a multivariate model analysis[J].Clin Nutr,2003,22(3):235-239.
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杨 光,曾宪阳,刘纪泽,等.胰十二指肠切除术后早期肠内营养对胃壁起搏电位恢复的影响[J].武警医学,2010,21(2):117-119.
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