Analysis of 6,879 groin hernia surgeries in the Czech Republic using data from a health insurance company

Česká verze

Authors: P. Chmátal ²; L. Tuka ¹; D. Jandová ¹
Authors place of work: Vojenská zdravotní pojišťovna České republiky generální ředitel: MUDr. K. Štein ¹; Ústav leteckého zdravotnictví Praha ředitel: MUDr. P. Chmátal, Ph. D., MBA ²
Published in the journal: Rozhl. Chir., 2016, roč. 95, č. 5, s. 188-191.
Category: Původní práce

Summary

Introduction:
Information about actual results of provided surgical care is difficult to obtain. We tested the insurance company billing system in terms of data usability.

Methods:
6,879 groin hernia surgeries carried out from 2008 to 2015 were analysed using registry data of one health insurance company.

Results:
Groin hernia surgeries were performed by 156 providers in the Czech Republic. Day surgeries were used in 3.8% cases (248), of which laparoscopic surgeries were used in 77% (193) of patients. The other 96.2% (6,631) surgeries were carried out on inpatients with the median hospital stay of 4 days. Of this number: open procedures without the use of a mesh were done in 36.54% (2,423), open procedures using a mesh in 19.84% (1,316), and laparoscopic procedures in 43.61% (2,892) cases. Reoperations for recurrence after hernia repair were done in 1.85% (127) of all cases, while 2.76% (66) reoperations were done after open procedures without the use of a mesh, 1.66% (22) after open procedures using a mesh, and 1.19% (37) after laparoscopic surgeries. The prediction rate for recurrent hernia incidence within 5 years was 2.42% in all cases. Others parameters were also evaluated.

Conclusion:
The study confirmed usefulness of the DRG data registry of health insurance companies for obtaining relevant information on the surgical procedures.

Key words:
groin hernia – treatment – database – day surgery – health insurance company

Zdroje

1. Burcharth J, Pedersen M, Bisgaard T, et al. Nationwide prevalence of groin hernia repair. PLoS One 2013;8:e54367.

2. Burcharth J. The epidemiology and risk factors for recurrence after inguinal hernia surgery. Dan Med 2014;61:B4846.

3. Lundstrom KJ, Sandblom G, Smedberg S, et al. Risk factors for complications in groin hernia Summary: a national registry study. Ann Surg 2012;255:784–8.

4. Burcharth J, Pommegard HC, Bisgaard T, et al. Patient-related risk factors for recurence after inguinal hernia repair: systematic review and meta-analysis of observational studies. Surg Innov 2015;22:303–17.

5. Van der Linden W, Warg A, Nordin P. National registry study of operating time and oucome in hernia repair. Arch Surg 2011;146:1198–1203.

6. Fiedler F, Kašík J. Komplikace IPOM plastiky – naše zkušenosti. Rozhl Chir 2009;88:394–7.

7. Šoltés M, Pažinka P, Radoňak J. Laparoskopická plastika TAPP v liečbě slabinovej průtrže – 10 ročné zkušenosti. Rozhl Chir 2010;89:383–8.

8. Kohoutek L, Musil J, Plecháčová P, et al. Operace tříselné kýly technikou ONSTEP. Rozhl Chir 2015;94:152–5.

9. Strašilipka J, Mrázek M, Ludvík P. Plastika tříselné kýly „tension free“ metodou s využitím síťky CHS 100 – naše zkušenosti. Rozhl Chir 2008;87:87–8.

10. Šimánek V, Třeška V, Špidlen V, et al. Plastika tříselné kýly otevřenou metodou, porovnání různých technik – pilotní studie. Rozhl Chir 2005;84:595–8.

11. Mitchell JB, Harrow B. Costs and outcomes of inpatient versus outpatient hernia repair. Health policy 1994;28:143–52.

12. Saia M, Mantoan D, Buja A, et al. Increased rate of day surgery use for inguinal and femoral hernia repair in a decade of hospital admissions in the Veneto Region (north-east Italy): a record linkage study. BMC Health Serv Res 2013;13:349. doi: 10.1186/1472-6963-13-349.

13. Majholm B, Engbæk J, Bartholdy J, et al. Is day surgery safe? A Danish multicentre study of morbidity after 57,709 day surgery procedures. Acta Anaesthesiol Scand. 2012;56:323-31. doi: 10.1111/j.1399-6576.2011.02631.x.

14. Paajanen H, Scheinin T, Vironen J. Commentary: Nationwide analysis of complications related to inguinal hernia Surgery in Finland: A 5 year register study of 55,000 operations. Am J Surg 2010;199:746–51.