Next Article in Journal
Forecasting the Romanian Unemployment Rate in Time of Health Crisis—A Univariate vs. Multivariate Time Series Approach
Next Article in Special Issue
Advancing African Medicines Agency through Global Health Diplomacy for an Equitable Pan-African Universal Health Coverage: A Scoping Review
Previous Article in Journal
Effect of UVC and UVA Photocatalytic Processes on Tetracycline Removal Using CuS-Coated Magnetic Activated Carbon Nanocomposite: A Comparative Study
Previous Article in Special Issue
Cost-Utility Analysis of Antibiotic Therapy versus Appendicectomy for Acute Uncomplicated Appendicitis
 
 
Search for Articles:
Title / Keyword
Author / Affiliation / Email
Journal
Article Type
 
 
Advanced Search
 
Section
Special Issue
Volume
Issue
Number
Page
 
Journals
IJERPH
Volume 18
Issue 21
10.3390/ijerph182111166
ijerph-logo
Submit to this Journal Review for this Journal Propose a Special Issue
► Article Menu

Article Menu

share Share announcement Help format_quote Cite question_answer Discuss in SciProfiles
first_page
settings
Order Article Reprints
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Article

The Financial Burden of Surgery for Congenital Malformations—The Austrian Perspective

by
Paolo Gasparella
1,2,
Georg Singer
1,2,
Bernhard Kienesberger
1,2,
Christoph Arneitz
1,2,
Gerhard Fülöp
3,
Christoph Castellani
1,2,
Holger Till
1,2 and
Johannes Schalamon
1,2,*
1
Department of Paediatric and Adolescent Surgery, Medical University of Graz, 8036 Graz, Austria
2
Austrian Society of Paediatric and Adolescent Surgery, 1010 Vienna, Austria
3
Austrian National Public Health Institute (Gesundheit Österreich GmbH, GÖG), 1010 Vienna, Austria
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2021, 18(21), 11166; https://doi.org/10.3390/ijerph182111166
Submission received: 14 September 2021 / Revised: 15 October 2021 / Accepted: 21 October 2021 / Published: 24 October 2021
(This article belongs to the Special Issue Economic Evaluation of Drugs, Patient Care Intervention(s), and Health Care Program(s))
Browse Figures
Versions Notes

Abstract

Neonatal “surgical” malformations are associated with higher costs than major “non-surgical” birth defects. We aimed to analyze the financial burden on the Austrian health system of five congenital malformations requiring timely postnatal surgery. The database of the Austrian National Public Health Institute for the period from 2002 to 2014 was reviewed. Diagnosis-related group (DRG) points assigned to hospital admissions containing five congenital malformations coded as principal diagnosis (esophageal atresia, duodenal atresia, congenital diaphragmatic hernia, gastroschisis, and omphalocele) were collected and compared to all hospitalizations for other reasons. Out of 3,518,625 total hospitalizations, there were 1664 admissions of patients with the selected malformations. The annual mean number was 128 (SD 17, range 110–175). The mean cost of the congenital malformations per hospital admission expressed in DRG points was 26,588 (range 0–465,772, SD 40,702) and was significantly higher compared to the other hospitalizations (n = 3,516,961; mean DRG 2194, range 0–834,997; SD 6161; p < 0.05). Surgical conditions requiring timely postnatal surgery place a significant financial burden on the healthcare system. The creation of a dedicated national register could allow for better planning of resource allocation, for improving the outcome of affected children, and for optimizing costs.
Keywords: congenital malformations; rare disease; neonatal surgery; health system congenital malformations; rare disease; neonatal surgery; health system

Share and Cite

MDPI and ACS Style

Gasparella, P.; Singer, G.; Kienesberger, B.; Arneitz, C.; Fülöp, G.; Castellani, C.; Till, H.; Schalamon, J. The Financial Burden of Surgery for Congenital Malformations—The Austrian Perspective. Int. J. Environ. Res. Public Health 2021, 18, 11166. https://doi.org/10.3390/ijerph182111166

AMA Style

Gasparella P, Singer G, Kienesberger B, Arneitz C, Fülöp G, Castellani C, Till H, Schalamon J. The Financial Burden of Surgery for Congenital Malformations—The Austrian Perspective. International Journal of Environmental Research and Public Health. 2021; 18(21):11166. https://doi.org/10.3390/ijerph182111166

Chicago/Turabian Style

Gasparella, Paolo, Georg Singer, Bernhard Kienesberger, Christoph Arneitz, Gerhard Fülöp, Christoph Castellani, Holger Till, and Johannes Schalamon. 2021. "The Financial Burden of Surgery for Congenital Malformations—The Austrian Perspective" International Journal of Environmental Research and Public Health 18, no. 21: 11166. https://doi.org/10.3390/ijerph182111166

APA Style

Gasparella, P., Singer, G., Kienesberger, B., Arneitz, C., Fülöp, G., Castellani, C., Till, H., & Schalamon, J. (2021). The Financial Burden of Surgery for Congenital Malformations—The Austrian Perspective. International Journal of Environmental Research and Public Health, 18(21), 11166. https://doi.org/10.3390/ijerph182111166

Note that from the first issue of 2016, this journal uses article numbers instead of page numbers. See further details here.

Article Metrics

Back to TopTop