MP61-14 COMPARING TOTAL HOSPITAL CHARGES AND TOTAL COST FOR PATIENTS UNDERGOING PARTIAL OR RADIAL NEPHRECTOMY BY SURGICAL APPROACH

Abstract

You have accessJournal of UrologyKidney Cancer: Epidemiology & Evaluation/Staging/Surveillance III (MP61)1 Sep 2021MP61-14 COMPARING TOTAL HOSPITAL CHARGES AND TOTAL COST FOR PATIENTS UNDERGOING PARTIAL OR RADIAL NEPHRECTOMY BY SURGICAL APPROACH Derian Taylor, Facundo Davaro, Noor Al-Hammadi, Leslie Hinyard, and Zachary Hamilton Derian TaylorDerian Taylor More articles by this author , Facundo DavaroFacundo Davaro More articles by this author , Noor Al-HammadiNoor Al-Hammadi More articles by this author , Leslie HinyardLeslie Hinyard More articles by this author , and Zachary HamiltonZachary Hamilton More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002101.14AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Cost of care has not been completely explored when comparing surgical approach (open, laparoscopic, and robotic) to radical or partial nephrectomy. We aim to compare the total hospital charges and total cost for patients undergoing partial (PN) or radical nephrectomy (RN) by surgical approach using the nationwide inpatient sample (NIS). METHODS: The NIS (2009 – 2015) was queried for patients undergoing open (O), laparoscopic (L), or robotic (R) approaches to PN or RN. Our primary outcome was a comparison of total hospital charge and total hospital cost stratified by surgical approach. Hospital charges represent the amount the hospital billed for the services performed; while the cost is the amount the hospital is paid to provide the care rendered. Our secondary outcomes included mean charge and cost by year of procedure and the percent change of each surgical approach over time. RESULTS: We identified 36,697 patients undergoing RN (31,761 ORN; 4,545 LRN; 391 RRN) and 16,135 patients undergoing PN (16,135 OPN; 1,192 LPN; 552 RPN). RRN and RPN were associated with shorter hospital stays than their open counterparts. RPN was associated with decreased risk of complication compared to OPN, but RRN did not decrease risk of complication compared to ORN. Hospital charges were higher for RRN and RON compared to LRN (total hospital charge, $84,056 vs. $70,947 vs. $60,069, p<0.05) and the cost for RRN and RON were higher as well ($23,455 vs. $20,684 vs. $17848, p<0.05). Hospital charges were also higher for RPN and OPN compared to LPN (total hospital charge, $64,320 vs $60,715 vs. $56,127, p<0.05); however, costs were similar for RPN, OPN, and LPN ($17,532 vs. $17,842 vs. $17,304, p>0.05). During the study period, total charges increased for ORN, LRN, OPN, and LPN but decreased for RRN and RPN. Total costs decreased for all surgical approach of RN and PN. CONCLUSIONS: RPN is associated with decreased length of stay, decreased complications, and similar cost to OPN and LPN. Although RRN has decreased length of stay, it carries higher hospital charges and cost compared to ORN and LRN. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e1088-e1088 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Derian Taylor More articles by this author Facundo Davaro More articles by this author Noor Al-Hammadi More articles by this author Leslie Hinyard More articles by this author Zachary Hamilton More articles by this author Expand All Advertisement Loading ...