Abstract
with a full course of alvimopan were $5712.20 while the mean charge for a hospital day was $10275.30. The mean savings based on LOS were $9803.50 per patient. CONCLUSIONS: Use of alvimopan in the routine perioperative care of our cystectomy and urinary diversion patients has decreased LOS by 1.5 days for a savings of $9803.50 per patient treated. While our results are promising, they may underestimate the effect of alvimopan due to the regimented cystectomy pathway that we practice. This is reflected by our low rate of readmission for ileus, even in the control group. A forthcoming multicenter, placebo-controlled double-blinded study (NCT00708201) should help clarify the role for alvimopan in cystectomy.
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