Comparative hospital costs of liver transplantation and the treatment of complications of cirrhosis. A prospective study.
European Journal of Gastroenterology and Hepatology
123 - 128.
Objective: To assess prospectively the comparative hospital costs of liver transplantation and the treatment of complications of cirrhosis. Design: A prospective evaluation of hospital costs over a 6-month period was undertaken with the Hospital's Directorate of Finance using standard health care accountancy procedures. Setting: Hepatobiliary and Liver Transplantation Unit, Royal Free Hospital and School of Medicine, London, UK. Patients: The first 23 liver transplant patients in a new programme all of whom underwent a standard protocol of management, were compared with 14 cirrhotics treated for complications. Main outcome measures: Individual and mean marginal and fully absorbed hospital costs for the initial admission, and subsequent readmission and outpatient visits. Results: The total mean fully absorbed hospital costs in pounds sterling were £8873 for complications and £24052 for liver transplantation, whereas the mean costs for readmission and outpatient follow-up were £3795 for the complication group, £1964 for the transplant group, as a result of the large difference in the total number of days spent by each group during readmission: 107 days for the transplant group versus 183 for the complication group. Conclusion: In our institution, the comparative hospital cost of liver transplantation is three times that of treating a complication of cirrhosis. In the first 6 months the hospital costs were less for patients transplanted than those treated for complications. A global cost-benefit analysis which takes into account quality of life should be performed to establish the cost of liver transplantation to society and in particular to the social and health services.
|Title:||Comparative hospital costs of liver transplantation and the treatment of complications of cirrhosis. A prospective study|
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