Financial burden of complications in lung resection surgery: scoping review.

IF 3.5 3区 医学 Q1 SURGERY
BJS Open Pub Date : 2025-05-07 DOI:10.1093/bjsopen/zraf057
Suwandi Dewapura, Fabien Chu, Patryck Lloyd-Donald, Ella Francis, Junyan Zhao, Prabhashi Ratnayakemudiyanselage, Fawaz Ahmed Prem Navaz, Chin Jin Ker, Elizabeth P Hu, Sepideh Roshanaei, Jacques Elias, Nattaya Raykateeraroj, Ronald Ma, Stephen A Barnett, Dong-Kyu Lee, Simon Knight, Laurence Weinberg
{"title":"Financial burden of complications in lung resection surgery: scoping review.","authors":"Suwandi Dewapura, Fabien Chu, Patryck Lloyd-Donald, Ella Francis, Junyan Zhao, Prabhashi Ratnayakemudiyanselage, Fawaz Ahmed Prem Navaz, Chin Jin Ker, Elizabeth P Hu, Sepideh Roshanaei, Jacques Elias, Nattaya Raykateeraroj, Ronald Ma, Stephen A Barnett, Dong-Kyu Lee, Simon Knight, Laurence Weinberg","doi":"10.1093/bjsopen/zraf057","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Lung resection surgery is a common procedure in the treatment of lung cancer. It has been associated with a high cost burden, with complications considered a substantial contributor to associated expenses. This review sought to understand and describe the financial burden associated with complications of lung resection surgery.</p><p><strong>Methods: </strong>Key databases (Ovid MEDLINE and Embase, Cochrane CENTRAL) were searched up to 14 October 2024. Studies reporting on costs of at least one complication of lung resection surgery, including lobectomy, wedge resection, segmentectomy, sleeve resection, pneumonectomy, or a combination of these, were included. Following identification of eligible articles, all relevant data were extracted. Quality assessment tools, including the Scottish Intercollegiate Guidelines Network Checklists for Economic Evaluations and Cohort Studies and the Risk Of Bias In Non-randomized Studies-of Interventions tool, were used to confirm articles for inclusion.</p><p><strong>Results: </strong>In all, 31 articles were identified for inclusion: 2 prospective and 29 retrospective studies. All lung-specific complications and all but one non-pulmonary complication were associated with increased hospitalization costs. Hospital expenses also increased with increasing numbers and grades of complications.</p><p><strong>Conclusion: </strong>Substantial variation in the definitions of costs and complications across studies has rendered a comparison of findings between studies challenging. Greater uniformity in definitions and classifications of costs and complications in future studies will facilitate further characterization of the cost burden of specific complications.</p>","PeriodicalId":9028,"journal":{"name":"BJS Open","volume":"9 3","pages":""},"PeriodicalIF":3.5000,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12105937/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"BJS Open","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/bjsopen/zraf057","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Lung resection surgery is a common procedure in the treatment of lung cancer. It has been associated with a high cost burden, with complications considered a substantial contributor to associated expenses. This review sought to understand and describe the financial burden associated with complications of lung resection surgery.

Methods: Key databases (Ovid MEDLINE and Embase, Cochrane CENTRAL) were searched up to 14 October 2024. Studies reporting on costs of at least one complication of lung resection surgery, including lobectomy, wedge resection, segmentectomy, sleeve resection, pneumonectomy, or a combination of these, were included. Following identification of eligible articles, all relevant data were extracted. Quality assessment tools, including the Scottish Intercollegiate Guidelines Network Checklists for Economic Evaluations and Cohort Studies and the Risk Of Bias In Non-randomized Studies-of Interventions tool, were used to confirm articles for inclusion.

Results: In all, 31 articles were identified for inclusion: 2 prospective and 29 retrospective studies. All lung-specific complications and all but one non-pulmonary complication were associated with increased hospitalization costs. Hospital expenses also increased with increasing numbers and grades of complications.

Conclusion: Substantial variation in the definitions of costs and complications across studies has rendered a comparison of findings between studies challenging. Greater uniformity in definitions and classifications of costs and complications in future studies will facilitate further characterization of the cost burden of specific complications.

肺切除术并发症的经济负担:范围审查。
背景:肺切除术是治疗肺癌的常用手术。它与高费用负担有关,并发症被认为是相关费用的主要来源。本综述旨在了解和描述与肺切除手术并发症相关的经济负担。方法:检索至2024年10月14日的关键数据库(Ovid MEDLINE和Embase, Cochrane CENTRAL)。研究报告了至少一种肺切除术并发症的费用,包括肺叶切除术、楔形切除术、节段切除术、袖状切除术、全肺切除术或这些手术的组合。在确定符合条件的文章后,提取所有相关数据。质量评估工具,包括苏格兰校际指南网络经济评估和队列研究清单和非随机研究的偏倚风险干预工具,被用来确认纳入的文章。结果:共纳入31篇文章:2篇前瞻性研究和29篇回顾性研究。所有肺部特异性并发症和除一种非肺部并发症外的所有并发症均与住院费用增加有关。住院费用也随着并发症数量和级别的增加而增加。结论:不同研究对成本和并发症定义的巨大差异使得研究结果之间的比较具有挑战性。在今后的研究中,费用和并发症的定义和分类更加统一,将有助于进一步确定具体并发症的费用负担。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
BJS Open
BJS Open SURGERY-
CiteScore
6.00
自引率
3.20%
发文量
144
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信