Perioperative medicine & outcomes
Implementation of a Multispecialty Geriatric Surgery Pathway Reduces Inpatient Cost for Frail Patients
Authors' conclusion
This study shows that high-value care can be achieved with the implementation of a GSP that aligns with the ACS-GSV program.
Study context
- Population
- Patients ≥65 years undergoing inpatient elective surgical procedures in the ACS NSQIP registry
- Exposure
- Geriatric surgical pathway vs pre-implementation care
- Outcome
- Inpatient cost of care (mean total and direct costs)
Methodological detailspre-post implementation comparison, propensity-matched analysis of frail patients
- Pre-post implementation comparison
- Propensity-matched analysis of frail patients
Main finding
As reported in the abstract
Total mean cost of health care services during hospitalization
Geriatric surgical pathway (GSP)
$23,361
mean · ± $1110
Precohort
$25,452
mean · ± $1723
P < 0.001
Observational data: associations, not effects.
Further findings
Cost, frail patients (propensity-matched analysis)
- Cost savings more evident in frail geriatric surgery patients
- Propensity-matched
Original publication
Implementation of a Multispecialty Geriatric Surgery Pathway Reduces Inpatient Cost for Frail Patients. Ann Surg. Published 19 May 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →