General Surgery

Cost Savings

Systematic and Multimodality Approach

Greater than sevenfold return on investment for a comprehensive patient blood management program with equivalent or improved outcomes. (opens new window)

Frank SM, Hensley NB, Thomas AJ, Dawson CG, Resar LMS, Ulatowski JA, Crowe EP

Source‎: Anesth Analg 2024;138(6):1345-48.

Indexed‎: PubMed 38530909

DOI‎: 10.1213/ANE.0000000000006862

https://pubmed.ncbi.nlm.nih.gov/38530909/ (opens new window)

Transfusion free surgery: single institution experience of 27 consecutive liver transplants in Jehovah's Witnesses. (opens new window)

Jabbour N, Gagandeep S, Mateo R, Sher L, Genyk Y, Selby R.

Source‎: J Am Coll Surg 2005;201(3):412-7.

Indexed‎: PubMed 16125075

DOI‎: 10.1016/j.jamcollsurg.2005.04.006

https://www.ncbi.nlm.nih.gov/pubmed/16125075 (opens new window)

The beneficial effects of minimizing blood loss in pancreatoduodenectomy. (opens new window)

Seykora TF, Ecker BL, McMillan MT, Maggino L, Beane JD, Fong ZV, Hollis RH, Jamieson NB, Javed AA, Kowalsky SJ, Kunstman JW, Malleo G, Poruk KE, Soares K, Valero V 3rd, Velu LKP, Watkins AA, Vollmer CM Jr; Pancreas Fistula Study Group

Source‎: Ann Surg 2019;270(1):147-57.

Indexed‎: PubMed 29489483

DOI‎: 10.1097/SLA.0000000000002714

https://www.ncbi.nlm.nih.gov/pubmed/29489483 (opens new window)

Standardization and streamlining of a pancreas surgery practice improves outcomes and resource utilization: a single institution's 20-year experience. (opens new window)

Stauffer JA, Onkendi EO, Wallace MB, Raimondo M, Woodward TA, Lukens FJ, Asbun HJ.

Source‎: Am J Surg 2017;214(3):450-5.

Indexed‎: PubMed 28168958

DOI‎: 10.1016/j.amjsurg.2017.01.033

https://www.ncbi.nlm.nih.gov/pubmed/28168958 (opens new window)

Implementation of a comprehensive patient blood management mrogram for hospitalized patients at a large United States medical menter. (opens new window)

Warner MA, Schulte PJ, Hanson AC, Madde NR, Burt JM, Higgins AA, Andrijasevic NM, Kreuter JD, Jacob EK, Stubbs JR, Kor DJ.

Source‎: Mayo Clin Proc 2021;96(12):2980-90.

Indexed‎: PubMed 34736775

DOI‎: 10.1016/j.mayocp.2021.07.017

https://pubmed.ncbi.nlm.nih.gov/34736775 (opens new window)

Preoperative Anemia Management

Associations between preoperative anaemia and hospital costs following major abdominal surgery: cohort study. (opens new window)

Meyerov J, Louis M, Lee DK, Fletcher L, Banyasz D, Miles LF, Ma R, Tosif S, Koshy AN, Story DA, Bellomo R, Weinberg L

Source‎: BJS Open 2021;5(2):zraa070.

Indexed‎: PubMed 33834189

DOI‎: 10.1093/bjsopen/zraa070

https://pubmed.ncbi.nlm.nih.gov/33834189/ (opens new window)

Associations of a preoperative anemia and suboptimal iron stores screening and management clinic in colorectal surgery with hospital cost, reimbursement, and length of stay: a net cost analysis. (opens new window)

Trentino KM, Mace H, Symons K, Sanfilippo FM, Leahy MF, Farmer SL, Watts RD, Hamdorf JM, Murray K.

Source‎: Anesth Analg 2021;132(2):344-52.

Indexed‎: PubMed 33105276

DOI‎: 10.1213/ANE.0000000000005241

https://www.ncbi.nlm.nih.gov/pubmed/33105276 (opens new window)

Screening and treating pre-operative anaemia and suboptimal iron stores in elective colorectal surgery: a cost effectiveness analysis. (opens new window)

Trentino KM, Mace HS, Symons K, Sanfilippo FM, Leahy MF, Farmer SL, Hofmann A, Watts RD, Wallace MH, Murray K.

Source‎: Anaesthesia 2021;76(3):357-65.

Indexed‎: PubMed 32851648

DOI‎: 10.1111/anae.15240

https://www.ncbi.nlm.nih.gov/pubmed/32851648 (opens new window)

Hemostatic Agents

Timing of factor VIIa in liver transplantation impacts cost and clinical outcomes. (opens new window)

Scheffert JL, Taber DJ, Pilch NA, McGillicuddy JW, Baliga PK, Chavin KD.

Source‎: Pharmacotherapy 2013;33(5):483-8.

Indexed‎: PubMed 23468226

DOI‎: 10.1002/phar.1230

https://www.ncbi.nlm.nih.gov/pubmed/23468226 (opens new window)

Perioperative parenteral tranexamic acid in liver tumor resection: a prospective randomized trial toward a "blood transfusion"-free hepatectomy. (opens new window)

Wu CC, Ho WM, Cheng SB, Yeh DC, Wen MC, Liu TJ, P'eng FK.

Source‎: Ann Surg 2006;243(2):173-10.

Indexed‎: PubMed 16432349

DOI‎: 10.1097/01.sla.0000197561.70972.73

https://www.ncbi.nlm.nih.gov/pubmed/16432349 (opens new window)

Periprocedural/Intraoperative Blood Conservation and Blood Management

Potential economic impact of using a restrictive transfusion trigger among patients undergoing major abdominal surgery. (opens new window)

Ejaz A, Frank SM, Spolverato G, Kim Y, Pawlik TM.

Source‎: JAMA Surg 2015;150(7):625-30.

Indexed‎: PubMed 25946411

DOI‎: 10.1001/jamasurg.2015.81

https://www.ncbi.nlm.nih.gov/pubmed/25946411 (opens new window)

Clinical utility of autologous salvaged blood: a review. (opens new window)

Frank SM, Sikorski RA, Konig G, Tsilimigras DI, Hartmann J, Popovsky MA, Pawlik TM, Waters JH.

Source‎: J Gastrointest Surg 2020;24(2):464-72.

Indexed‎: PubMed 31468332

DOI‎: 10.1007/s11605-019-04374-y

https://www.ncbi.nlm.nih.gov/pubmed/31468332 (opens new window)

Restrictive blood transfusion practices are associated with improved patient outcomes. (opens new window)

Goodnough LT, Maggio P, Hadhazy E, Shieh L, Hernandez-Boussard T, Khari P, Shah N.

Source‎: Transfusion 2014;54(10 Pt 2):2753-9.

Indexed‎: PubMed 24995770

DOI‎: 10.1111/trf.12723

https://www.ncbi.nlm.nih.gov/pubmed/24995770 (opens new window)

Effects of standardized acute normovolemic hemodilution on intraoperative allogeneic blood transfusion in patients undergoing major maxillofacial surgery. (opens new window)

Habler O, Schwenzer K, Zimmer K, Prager M, König U, Oppenrieder K, Pape A, Steinkraus E, Reither A, Buchrot A, Zwissler B.

Source‎: Int J Oral Maxillofac Surg 2004;33(5):467-75.

Indexed‎: PubMed 15183411

DOI‎: 10.1016/j.ijom.2003.10.007

https://www.ncbi.nlm.nih.gov/pubmed/15183411 (opens new window)

Tumescent technique for burn wound debridement: a cost effective method of reducing transfusion requirements. (opens new window)

Husain S, Ofodile FA.

Source‎: J Coll Physicians Surg Pak 2006;16(3):227-8.

Indexed‎: PubMed 16542607

DOI‎: 3.2006/JCPSP.227228

https://www.ncbi.nlm.nih.gov/pubmed/16542607 (opens new window)

A decision model and cost analysis of intra-operative cell salvage during hepatic resection. (opens new window)

Lemke M, Eeson G, Lin Y, Tarshis J, Hallet J, Coburn N, Law C, Karanicolas PJ.

Source‎: HPB (Oxford) 2016;18(5):428-35.

Indexed‎: PubMed 27154806

DOI‎: 10.1016/j.hpb.2016.02.002

https://www.ncbi.nlm.nih.gov/pubmed/27154806 (opens new window)

Implementation of a patient blood management monitoring and feedback program significantly reduces transfusions and costs. (opens new window)

Mehra T, Seifert B, Bravo-Reiter S, Wanner G, Dutkowski P, Holubec T, Moos RM, Volbracht J, Manz MG, Spahn DR

Source‎: Transfusion 2015;55(12):2807-15.

Indexed‎: PubMed 26264557

DOI‎: 10.1111/trf.13260

https://www.ncbi.nlm.nih.gov/pubmed/26264557 (opens new window)

Use of a saline-coupled bipolar sealer open liver resection for hepatic malignancy: medical resource use and costs. (opens new window)

Nichols CI, Vose JG.

Source‎: World J Gastroenterol 2016;22(46):10189-97.

Indexed‎: PubMed 28028367

DOI‎: 10.3748/wjg.v22.i46.10189

https://www.ncbi.nlm.nih.gov/pubmed/28028367 (opens new window)

Clinical efficacy and cost effectiveness of intraoperative cell salvage in pelvic trauma surgery. (opens new window)

Odak S, Raza A, Shah N, Clayson A.

Source‎: Ann R Coll Surg Engl 2013;95(5):357-60.

Indexed‎: PubMed 23838500

DOI‎: 10.1308/003588413X13629960045715

https://www.ncbi.nlm.nih.gov/pubmed/23838500 (opens new window)

A prospective study investigating the cost effectiveness of intraoperative blood salvage during liver transplantation. (opens new window)

Phillips SD, Maguire D, Deshpande R, Muiesan P, Bowles MJ, Rela M, Heaton ND.

Source‎: Transplantation 2006;81(4):536-40.

Indexed‎: PubMed 16495800

DOI‎: 10.1097/01.tp.0000199318.17013.c5

https://www.ncbi.nlm.nih.gov/pubmed/16495800 (opens new window)

Bloodless donor hepatectomy in living donor liver transplantation: counterclockwise liver rotation and early hanging maneuver. (opens new window)

Sadamori H, Yagi T, Shinoura S, Umeda Y, Yoshida R, Satoh D, Nobuoka D, Utsumi M, Yoshida K, Fujiwara T.

Source‎: J Gastrointest Surg 2013;17(1):203-6.

Indexed‎: PubMed 22573114

DOI‎: 10.1007/s11605-012-1907-5

https://www.ncbi.nlm.nih.gov/pubmed/22573114 (opens new window)

The best strategy for red blood cell transfusion in severe burn patients, restrictive or liberal: a randomized controlled trial. (opens new window)

Salehi SH, Daniali M, Motaghi P, Momeni M.

Source‎: Burns 2021;47(5):1038-44.

Indexed‎: PubMed 34045114

DOI‎: 10.1016/j.burns.2020.06.038

https://www.ncbi.nlm.nih.gov/pubmed/34045114 (opens new window)

Rotational thromboelastometry or conventional coagulation tests in liver transplantation: comparing blood loss, transfusions, and cost. (opens new window)

Smart L, Mumtaz K, Scharpf D, Gray NO, Traetow D, Black S, Michaels AJ, Elkhammas E, Kirkpatrick R, Hanje AJ.

Source‎: Ann Hepatol 2017;16(6):916-23.

Indexed‎: PubMed 29055918

DOI‎: 10.5604/01.3001.0010.5283

https://www.ncbi.nlm.nih.gov/pubmed/29055918 (opens new window)

Economic analysis of an intraoperative cell salvage service. (opens new window)

Szpisjak DF, Potter PS, Capehart BP.

Source‎: Anesth Analg 2004;98(1):201-5.

Indexed‎: PubMed 14693619

DOI‎: 10.1213/01.ANE.0000093231.53663.DD

https://www.ncbi.nlm.nih.gov/pubmed/14693619 (opens new window)

An economic analysis of costs associated with development of a cell salvage program. (opens new window)

Waters JR, Meier HH, Waters JH.

Source‎: Anesth Analg 2007;104(4):869-75.

Indexed‎: PubMed 17377098

DOI‎: 10.1213/01.ane.0000258039.79028.7c

https://www.ncbi.nlm.nih.gov/pubmed/17377098 (opens new window)

Secure, low-cost technique for laparoscopic hepatic resection using the crush-clamp method with a bipolar sealer. (opens new window)

Yamamoto T, Uenishi T, Kaneda K, Okawa M, Tanaka S, Kubo S.

Source‎: Asian J Endosc Surg 2017;10(1):96-9.

Indexed‎: PubMed 28045238

DOI‎: 10.1111/ases.12318

https://www.ncbi.nlm.nih.gov/pubmed/28045238 (opens new window)