Highlights
- •This multicentre study on 789 patients submitted to gastric cancer surgery found that implementation of a Patient Blood Management program was associated to a expense reduction of −1955 € per patient [95% CI -3764, −119] in healthcare, and of −2243 € [95% CI -4244, −210] in societal costs.
- •The main drivers of this economic saving were reductions in hospital stay, blood transfusions, and post-operative complications.
Abstract
Patient Blood Management (PBM) programs have probed to reduce blood transfusions and
postoperative complications following gastric cancer resection, but evidence on their
economic benefit is scarce. A recent prospective interventional study of our group
described a reduction in transfusions, infectious complications and length of stay
after implementation of a multicenter PBM program in patients undergoing elective
gastric cancer resection with curative intent. The aim of the present study was to
analyze the economic impact associated with these clinical benefits. The mean [and
95% CI] of total healthcare cost per patient was lower (−1955 [-3764, −119] €) after
the PBM program implementation. The main drivers of this reduction were the hospital
stay (−1847 [-3161, −553] €), blood transfusions (−100 [-145, −56] €), and post-operative
complications (−162 [-718, 411] €). Total societal cost was reduced by −2243 [-4244, −210]
€ per patient. These findings highlight the potential economic benefit of PBM strategies.
Keywords
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Article info
Publication history
Published online: September 19, 2022
Accepted:
September 8,
2022
Received in revised form:
September 6,
2022
Received:
August 10,
2022
Footnotes
☆This paper is not based on a previous communication to a society or meeting.
Identification
Copyright
Published by Elsevier Ltd.
