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. 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.

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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

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