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J Urol. 1995 Sep;154(3):996-1001.

Impact of a collaborative care approach to radical cystectomy and urinary reconstruction.

Author information

  • 1Department of Urology, Vanderbilt University Medical Center, Nashville, Tennessee 87232-2765, USA.

Abstract

PURPOSE:

We report the results of a collaborative care program that has been developed for radical cystectomy and urinary reconstruction.

MATERIALS AND METHODS:

All patients undergoing surgery after July 1993 were placed on a collaborative care pathway and were compared to patients undergoing the same procedure before this period.

RESULTS:

Total adjusted hospital charges decreased from $31,174 to $19,479. Hospital stay decreased from 12.7 to 10.3 days. There were also decreases in duration of surgery, blood loss, intensive care unit use and postoperative morbidity rates.

CONCLUSIONS:

Collaborative care pathways favorably affect the cost efficiency of care and provide favorable surgical outcomes.

PMID:
7637110
[PubMed - indexed for MEDLINE]
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