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

Česká verzia

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

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