Overview of costs before and after project implementation
Pre-intervention (CAD$) (n=96) | Post-intervention (CAD$) (n=101) | Difference (post-pre) | P value | |
Total cost | ||||
Median (IQR) | 8 381.58 (6593.97–19 367.19) | 7 252.03 (6470.28–10 096.13) | −1129.55 | 0.02* |
Surgical, median (IQR) | ||||
Total OR visit | 8061.82 (6273.96–19 053.43) | 6 740.45 (5958.70–9584.55) | −1321.37 | <0.05* |
OR costs† | 6054.56 (4665.01–17 301.62) | 5 271.00 (4407.92–7243.47) | −783.56 | 0.02* |
Post-operative stay† | 1278.10 (891.60–1800.80) | 816.00 (639.38–1188.87) | −462.1 | <0.05* |
Pharmacy costs | 47.06 (22.82–98.86) | 23.20 (12.98–31.75) | −19.14 | <0.05* |
Investigations† | 166.95 (121.21–198.09) | 194.00 (139.73–259.60) | +27.05 | 0.06 |
Readmission | n/a | |||
Total (median) | 16 036.62 (8018.82) | 22 637.00 (11 318.00) | ||
Outpatient visits | ||||
Total (median) | n/a (113.00) | 10 513 (96.00) | ||
ER visits | ||||
Total (median) | 2768.97 (305.40) | n/a | ||
Implementation | ||||
Total | n/a | 13 106.52 | ||
Per patient | n/a | 134.38 |
*Statistically significant.
†The OR cost includes costs of the operating room, Da Vinci robot use if applicable, respiratory therapist and anesthesia costs. The postoperative stay cost includes PACU stay, short stay unit, and ward admission if applicable; calculated from available cost and estimates on time spent in each location. The investigations costs include laboratory, electrocardiogram, radiology, blood bank, and microbiology if applicable
CAD$, Canadian dollars; ER, emergency room; n/a, not available or applicable; OR, operating room; PACU, post-operative care unit.