NCT01715402

Optimization of Health Expenditure in Liver Surgery

Optimization of Health Expenditure in Major Surgery: Impact of a Mixed, Clinical and Ethnographic Approach in the Model of Liver Surgery

• Status: Unknown
• Phase: —
• Study type: Observational
• Enrollment: 3,000 (estimated)
• Sponsor: Centre Hospitalier Universitaire, Amiens · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

The aim of this study is to reduce the length of stay after liver surgery by taking account of objective quantitative clinical variables, subjective qualitative clinical variables and non clinical variables.

Detailed description

a new dimension of the activity expected of physicians is to improve the safety of care on the one hand and the control of health care costs on the other. key measures to help them are the publication of national recommendations, assessment of actual practices and the incentive to activity. Internationalwide recent and concordant data suggest that * quality and security of care, after an initial improvement, are going to stall * scientific recommendations are rarely validated by an impact analysis and are not applied * clinical data collected within an administrative framework are unreliable and too generalist * the evaluation, especially in the surgical field, is based on indicators sometimes irrelevant and often unclear

Conditions

• Hepatocellular Carcinoma
• Hilar Cholangiocarcinoma
• Intra Hepatic Cholangiocarcinoma
• Liver Metastasis

Interventions

Type	Name	Description
PROCEDURE	liver surgery	this intervention type includes hepatectomies; wedge; segmentectomies etc...

Timeline

• Start date: 2012-09-01
• Primary completion: 2017-12-01
• Completion: 2018-12-01
• First posted: 2012-10-29
• Last updated: 2017-02-06

Locations

11 sites across 1 country: France