Impact of a Collaborative Care Approach to Radical Cystectomy and Urinary Reconstruction

Michael O. Koch, Bedreddin Seckin, Joseph A. Smith

Research output: Contribution to journalArticle

38 Scopus citations

Abstract

Purpose: We report the results of a collaborative care program that has been developed for radical cystectomy and urinary reconstruction. Materials and Methods: All patients undergoing surgery after July 1993 were placed on a collaborative care pathway and were compared to patients undergoing the same procedure before this period. Results: Total adjusted hospital charges decreased from $31,174 to $19,479. Hospital stay decreased from 12.7 to 10.3 days. There were also decreases in duration of surgery, blood loss, intensive care unit use and postoperative morbidity rates. Conclusions: Collaborative care pathways favorably affect the cost efficiency of care and provide favorable surgical outcomes.

Original languageEnglish (US)
Pages (from-to)996-1001
Number of pages6
JournalThe Journal of urology
Volume154
Issue number3
DOIs
StatePublished - Sep 1995
Externally publishedYes

ASJC Scopus subject areas

  • Urology

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