Please use this identifier to cite or link to this item:
https://doi.org/10.1371/journal.pone.0037813
DC Field | Value | |
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dc.title | Peristomal skin complications are common, expensive, and difficult to manage: A population based cost modeling study | |
dc.contributor.author | Meisner S. | |
dc.contributor.author | Lehur P.-A. | |
dc.contributor.author | Moran B. | |
dc.contributor.author | Martins L. | |
dc.contributor.author | Jemec G.B.E. | |
dc.date.accessioned | 2019-11-11T06:39:11Z | |
dc.date.available | 2019-11-11T06:39:11Z | |
dc.date.issued | 2012 | |
dc.identifier.citation | Meisner S., Lehur P.-A., Moran B., Martins L., Jemec G.B.E. (2012). Peristomal skin complications are common, expensive, and difficult to manage: A population based cost modeling study. PLoS ONE 7 (5) : e37813. ScholarBank@NUS Repository. https://doi.org/10.1371/journal.pone.0037813 | |
dc.identifier.issn | 19326203 | |
dc.identifier.uri | https://scholarbank.nus.edu.sg/handle/10635/161980 | |
dc.description.abstract | Background: Peristomal skin complications (PSCs) are the most common post-operative complications following creation of a stoma. Living with a stoma is a challenge, not only for the patient and their carers, but also for society as a whole. Due to methodological problems of PSC assessment, the associated health-economic burden of medium to longterm complications has been poorly described. Aim: The aim of the present study was to create a model to estimate treatment costs of PSCs using the standardized assessment Ostomy Skin Tool as a reference. The resultant model was applied to a real-life global data set of stoma patients (n = 3017) to determine the prevalence and financial burden of PSCs. Methods: Eleven experienced stoma care nurses were interviewed to get a global understanding of a treatment algorithm that formed the basis of the cost analysis. The estimated costs were based on a seven week treatment period. PSC costs were estimated for five underlying diagnostic categories and three levels of severity. The estimated treatment costs of severe cases of PSCs were increased 2-5 fold for the different diagnostic categories of PSCs compared with mild cases. French unit costs were applied to the global data set. Results: The estimated total average cost for a seven week treatment period (including appliances and accessories) was 263€ for those with PSCs (n = 1742) compared to 215€ for those without PSCs (n = 1172). A co-variance analysis showed that leakage level had a significant impact on PSC cost from 'rarely/never' to 'always/often' p<0.00001 and from 'rarely/never' to 'sometimes' p = 0.0115. Conclusion: PSCs are common and troublesome and the consequences are substantial, both for the patient and from a health economic viewpoint. PSCs should be diagnosed and treated at an early stage to prevent long term, debilitating and expensive complications. © 2012 Meisner et al. | |
dc.rights | Attribution 4.0 International | |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | |
dc.source | Unpaywall 20191101 | |
dc.subject | adult | |
dc.subject | aged | |
dc.subject | article | |
dc.subject | clinical assessment tool | |
dc.subject | controlled study | |
dc.subject | cost benefit analysis | |
dc.subject | disease classification | |
dc.subject | disease severity | |
dc.subject | female | |
dc.subject | financial management | |
dc.subject | health care cost | |
dc.subject | health care management | |
dc.subject | health care system | |
dc.subject | human | |
dc.subject | interview | |
dc.subject | major clinical study | |
dc.subject | male | |
dc.subject | medical instrumentation | |
dc.subject | nursing care | |
dc.subject | Ostomy Skin Tool | |
dc.subject | peristomal skin complication | |
dc.subject | population research | |
dc.subject | postoperative complication | |
dc.subject | prevalence | |
dc.subject | sensitivity analysis | |
dc.subject | stoma | |
dc.subject | treatment duration | |
dc.subject | cost | |
dc.subject | economics | |
dc.subject | middle aged | |
dc.subject | postoperative complication | |
dc.subject | skin disease | |
dc.subject | stoma | |
dc.subject | Aged | |
dc.subject | Costs and Cost Analysis | |
dc.subject | Female | |
dc.subject | Humans | |
dc.subject | Male | |
dc.subject | Middle Aged | |
dc.subject | Ostomy | |
dc.subject | Postoperative Complications | |
dc.subject | Skin Diseases | |
dc.subject | Surgical Stomas | |
dc.type | Article | |
dc.contributor.department | SURGERY | |
dc.description.doi | 10.1371/journal.pone.0037813 | |
dc.description.sourcetitle | PLoS ONE | |
dc.description.volume | 7 | |
dc.description.issue | 5 | |
dc.description.page | e37813 | |
dc.published.state | Published | |
Appears in Collections: | Staff Publications Elements |
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