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. 2024 Jan 19;24(1):109.
doi: 10.1186/s12913-023-10535-2.

Daly/Cost comparison in the management of peripheral arterial disease at 17 Belgian hospitals

Benoît Rondelet #  1   2 , Fabian Dehanne #  3   4   5 , Julie Van Den Bulcke  5 , Dimitri Martins  5 , Asmae Belhaj  6 , Benoît Libert  3 , Pol Leclercq  5 , Magali Pirson  5
Affiliations

Daly/Cost comparison in the management of peripheral arterial disease at 17 Belgian hospitals

Benoît Rondelet et al. BMC Health Serv Res. .

Abstract

Objective: Peripheral arterial disease (PAD) is a manifestation of atherosclerosis that affects the lower extremities and afflicts more than 200 million people worldwide. Because of limited resources, the need to provide quality care associated with cost control is essential for health policies. Our study concerns an interhospital comparison among seventeen Belgian hospitals that integrates the weighting of quality indicators and the costs of care, from the hospital perspective, for a patient with this pathology in 2018.

Methods: The disability-adjusted life years (DALYs) were calculated by adding the number of years of life lost due to premature death and the number of years of life lost due to disability for each in-hospital stay. The DALY impact was interpreted according to patient safety indicators. We compared the hospitals using the adjusted values ​​of costs and DALYs for their case mix index, obtained by relating the observed value to the predicted value obtained by linear regression.

Results: We studied 2,437 patients and recorded a total of 560.1 DALYs in hospitals. The in-hospital cost average [standard deviation (SD)] was €8,673 (€10,893). Our model identified the hospitals whose observed values were higher than predicted; six needed to reduce the costs and impacts of DALYs, six needed to improve one of the two factors, and four seemed to have good results. The average cost (SD) for the worst performing hospitals amounted to €27,803 (€28,358).

Conclusions: Studying the costs of treatment according to patient safety indicators permits us to evaluate the entire chain of care using a comparable unit of measurement.

Keywords: Atherosclerosis; Complication; Cost; DALY; Disability-Adjusted Life Year; Peripheral arterial disease.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Graphic of observed cost/predicted cost vs. observed DALY/predicted DALY from linear regression among 17 Belgian hospitals. This graph identifies the position of hospitals regarding their performance in terms of costs and DALYs. A bubble represents a hospital and is based on the data from Table 6. Hospitals with a red colour suggest that both variables are unfavourable, hospitals with a green colour suggest that both variables are favourable and hospitals with an orange colour suggest that one of the two variables of the hospital is favourable. DALY, disability-adjusted life year
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References

    1. Lu Y, Cui X, Zhang L, Wang X, Xu Y, Qin Z, Liu G, Wang Q, Tian K, Lim KS, Charles CJ, Zhang J, Tang J. The functional role of lipoproteins in atherosclerosis: novel directions for diagnosis and targeting therapy. Aging Dis. 2022;13:491–520. doi: 10.14336/ad.2021.0929. - DOI - PMC - PubMed
    1. Criqui MH, Aboyans V. Epidemiology of peripheral artery disease. Circ Res. 2015;116:1509–1526. doi: 10.1161/circresaha.116.303849. - DOI - PubMed
    1. WHO Study Group on the Classification of Atherosclerotic Lesions, World Health Organization: Classification of Atherosclerotic Lesions: Report of a Study Group [Met in Washington, October 7–11, 1957]. Technical Report Series; No. 143. Geneva: World Health Organization. 1958 - PubMed
    1. Sampson UK, Fowkes FG, McDermott MM, Criqui MH, Aboyans V, Norman PE, Forouzanfar MH, Naghavi M, Song Y, Harrell FE, Jr, Denenberg JO, Mensah GA, Ezzati M, Murray C. Global and regional burden of death and disability from peripheral artery disease: 21 world regions, 1990 to 2010. Glob Heart. 2014;9:145–158.e21. doi: 10.1016/j.gheart.2013.12.008. - DOI - PubMed
    1. Riviere AB, Bouée S, Laurendeau C, Torreton E, Gourmelen J, Thomas-Delecourt F. Outcomes and management costs of peripheral arterial disease in France. J Vasc Surg. 2018;67:1834–1843. doi: 10.1016/j.jvs.2017.09.041. - DOI - PubMed