Costs of management of bile duct injuries.
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Date
2011-04
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Abstract
Background: Only a few studies address the financial impact of the management of bile duct injuries (BDI). This study was aimed to assess the cost of BDI sustained during
cholecystectomy.
Methods: Patients who underwent surgical repair for post cholecystectomy BDI and due for
routine follow up between August 2006 and September 2007 were called for an interview.
Results: 47 patients were interviewed. There were 39 (83%) women and 8 (17%) men. The
median direct cost was US$ 1626 (451-11,009); ` 73,983 (20,521-500,910). The median indirect
cost was US$ 312 (26-2,708); ` 14,196 (1,183-123,214). Total median cost was US$ 2,045 (488-
12,369); ` 93,046 (22,204-562,790). The median total costs of management of BDI was 9.98
times the costs of a cholecystectomy at our centre (US$ 205); (` 9,328) and was 8.41 times the
median monthly income of the patients (US$ 243); (` 11,057).
Conclusions: Our results will help the hospital administrators and the insurance agencies to calculate and revise the packages and premium for cholecystectomy so that the extra cost of a possible BDI is evenly distributed.
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Keywords
Bile duct injuries, cholecystectomy, insurance agencies, premium
Citation
Kapoor Vinay K, Pottakkat Biju, Jhawar Sheenu, Sharma Shikha, Mishra Kumudesh, Singh Nirupma, Vijayahari Ranjit. Costs of management of bile duct injuries. Tropical Gastroenterology. 2011 Apr-June; 32(2): 117-121.