Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Apr;38(4):533-539.
doi: 10.1007/s00383-022-05074-6. Epub 2022 Feb 24.

Patient-level costing analysis of paediatric short bowel syndrome care in a specialist tertiary centre

Brendan C Jones #  1   2 , Benjamin O'Sullivan #  3 , Sonal Parmar Amin  4 , Susan Hill  5 , Simon Eaton  1 , Paolo De Coppi  6   7
Affiliations

Patient-level costing analysis of paediatric short bowel syndrome care in a specialist tertiary centre

Brendan C Jones et al. Pediatr Surg Int. 2022 Apr.

Abstract

Purpose: To undertake a pilot study estimating patient-level costs of care for paediatric short bowel syndrome (SBS) from the healthcare provider perspective.

Methods: A pilot group of patients with anatomical SBS was selected at a single specialist tertiary centre in the United Kingdom. The Patient Level Information and Costing System (PLICS) was used to extract costing data for all hospital-based activities related to SBS, from the implementation of PLICS in 2016 to April 2021. Patient-specific and pooled data were reported descriptively in per patient-year terms.

Results: Five patients had full PLICS data available for the 5-year study period and 2 patients had 4 years of data. The median cost for hospital care of SBS was £52,834 per patient-year (range £1804-£331,489). The key cost drivers were inpatient beds, pharmacy, and staffing costs, which made up > 60% of annual costs. In the first 3 years following index admission (n = 2), there was a steady decline in the annual cost of care to a level comparable with patients with established SBS.

Conclusion: Patient-level cost of care analysis for SBS is feasible using PLICS. Hospital-related costs vary widely between and within individual patients over time. Key drivers of cost are related to complications of SBS.

Keywords: Cost of care; Health economics; Parenteral nutrition; Short bowel syndrome.

PubMed Disclaimer

Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Patient-level cost of care for SBS treatment over the study period. Each of the patients (1–7) is represented by a different line to allow tracking of individual year-to-year changes
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Massironi S, et al. Understanding short bowel syndrome: current status and future perspectives. Dig Liver Dis. 2020;52(3):253–261. doi: 10.1016/j.dld.2019.11.013. - DOI - PubMed
    1. Brandt CF, et al. Home parenteral nutrition in adult patients with chronic intestinal failure: the evolution over 4 decades in a tertiary referral center. JPEN J Parenter Enteral Nutr. 2017;41(7):1178–1187. doi: 10.1177/0148607116655449. - DOI - PubMed
    1. Wales PW, et al. Neonatal short bowel syndrome: population-based estimates of incidence and mortality rates. J Pediatr Surg. 2004;39(5):690–695. doi: 10.1016/j.jpedsurg.2004.01.036. - DOI - PubMed
    1. Kim HB, et al. Serial transverse enteroplasty (STEP): a novel bowel lengthening procedure. J Pediatr Surg. 2003;38(3):425–429. doi: 10.1053/jpsu.2003.50073. - DOI - PubMed
    1. Mutanen A, Wales PW. Etiology and prognosis of pediatric short bowel syndrome. Semin Pediatr Surg. 2018;27(4):209–217. doi: 10.1053/j.sempedsurg.2018.07.009. - DOI - PubMed

LinkOut - more resources