Medtronic Highlights New Data in JAMA Surgery Demonstrating Significant Cost Savings and Reduced Patient Hospital Stays Follo...
March 25 2015 - 4:00PM
Study Shows
Patients Who Underwent Laparoscopic Colon Resections Left Hospital
Faster, Required Significantly Less Follow Up Care and Fewer
Medicines Than Patients Who Underwent Open Surgery
DUBLIN - March 25, 2015 -
Adding to the clinical benefits and improved patient outcomes
associated with minimally-invasive surgery (MIS), Medtronic plc
(NYSE: MDT) today highlighted new data demonstrating that patients
who underwent minimally invasive colon resection procedures were
able to leave the hospital faster, visit their doctors less for
follow up care and take fewer medicines1 than those
who underwent open surgery. The findings, which were published in
the March 25 online edition of JAMA Surgery,
suggest that minimally invasive approaches offer compelling near-
and long-term cost savings for the healthcare system and less
trauma for patients.
"We found that the use of minimally-invasive
laparoscopic approaches in a select group of patients undergoing
colectomy procedures resulted in significantly lower health care
costs and resource utilization compared with open surgical
approaches. This may expand access and lower the cost of patient
care in the long term," said lead author Conor P. Delaney, MD PhD,
of University Hospitals Case Medical Center in Cleveland, Ohio.
"These results reflect the well-documented benefits of laparoscopic
surgery, which include faster recovery, less pain and fewer
complications."
A colectomy is the surgical removal of part or all
of the colon and the rectum and is usually performed to treat
several digestive health conditions, including diverticulitis,
Crohn's disease, ulcerative colitis and cancer of the colon and
rectum.
The study found that laparoscopic colectomy
procedures - which utilize three or four small incisions instead of
one large incision - resulted in lower costs and reduced
utilization of hospital resources across the board.
Open procedure patients stayed in the hospital for
7.4 days, while MIS patients were discharged after 4.5 days. The
total procedural and hospitalization cost of care for
minimally-invasive procedures was $24,196 compared to $31,601 for
open approaches, a reduction of $7,405 or 23%.
In the year following surgery:
- Overall healthcare expenditures were 18% higher
for open surgery compared to MIS
- Open surgery patients were 112% more likely to be
admitted into the hospital as an inpatient compared to MIS
- Drug expenditures were 13% higher for open
surgery compared to MIS
"The widespread adoption of minimally invasive
surgery has the potential to improve care, help patients and reduce
health care costs. The global medical community must come together
to more quickly modernize surgery by increasing the rate of MIS
adoption," said Michael Tarnoff, MD, vice president and chief
medical officer, Covidien Group at Medtronic. "MIS is a prime
example of the intersection of value and quality. Worldwide
literature indicates that MIS is superior to open approaches in
many abdominal and thoracic procedures. Ultimately, healthcare
should be focused on getting patients better, faster and with less
pain and MIS achieves that."
Researchers conducted a retrospective multivariate
regression analysis of national health insurance claims utilizing
data obtained from the Truven Health Analytics MarketScan
Commercial Claims and Encounters database. The study measured three
main outcomes: health care utilization, including office, hospital
outpatient, and emergency department visits and inpatient services
90 days and one year after the procedure; health care expenditures;
and estimated patient days off from work. The study
population was comprised of 4,160 patients aged 18 to 64 years old
who underwent elective laparoscopic (45.6%) or open colectomy
(54.4%) from January 2010 through December 2010.
Clinical benefits of laparoscopic colectomy,
including but not limited to decreased complications, mortality and
rates of readmission have been demonstrated in multiple
studies.2-6
The JAMA Surgery paper is the
first in a series of research into the long-term impact of
minimally invasive approaches on healthcare costs and utilization.
Future publications will focus on Video Assisted Thoracic Surgery
and laparoscopic incisional / ventral hernia repair.
For more information on the JAMA Surgery
publication and news release please visit
http://archsurg.jamanetwork.com/article.aspx?articleid=2207937.
Multimedia Release
A multimedia version of this release, with links to graphics can be
found at: http://bit.ly/19PUOIz
About Medtronic
Medtronic plc (www.medtronic.com), headquartered in Dublin,
Ireland, is the global leader in medical technology - alleviating
pain, restoring health and extending life for millions of people
around the world.
Any forward-looking statements
are subject to risks and uncertainties such as those described in
Medtronic's periodic reports on file with the Securities and
Exchange Commission. Actual results may differ materially from
anticipated results.
-end-
1 Benjamin P.
Crawshaw, MD; Hung-Lun Chien, MPH; Knut M. Augestad, MD, PhD; Conor
P. Delaney, MD, PhD. Effect of Laparoscopic Surgery on Health Care
Utilization and Costs in Patients Who Undergo Colectomy. JAMA Surg. 2015; March 25 (online).
2 Delaney
CP, Kiran RP, Senagore AJ, Brady K, Fazio VW. Case-matched
comparison of clinical and financial outcome after laparoscopic or
open colorectal surgery. Ann Surg. 2003;
238(1);67-72
3 Delaney
CP, Chang E, Senagore AJ, Broder M. Clinical outcomes and resource
utilization associated with laparoscopic and open colectomy using a
large national database. Ann Surg. 2008;
247(5); 819-824.
4 Kang CY,
Chaudhry OO, Halabi WJ, et al. Outcomes of laparoscopic colorectal
surgery; data from the Nationwide Inpatient Sample 2009. AM J Surg. 2012;204(6):952-957.
5 Kiran
RP, Delaney CP, Senagore AJ, Steel M, Garafalo T, Fazio VW.
Outcomes and prediction of hospital readmission after intestinal
surgery. J Am Coll Surg.
2004;198(6):877-883.
6 Senagore
AJ, Stulberg JJ, Byrnes J, Delaney CP. A national comparison of
laparoscopic vs. open colectomy using the National Surgical Quality
Improvement Project data. Dis Colon Rectum.
2009;52(2):183-186.
Contacts:
John Jordan
Public Relations
+1-508-452-4891
Jeff Warren
Investor Relations
+1-763-505-2696
This
announcement is distributed by NASDAQ OMX Corporate Solutions on
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The issuer of this announcement warrants that they are solely
responsible for the content, accuracy and originality of the
information contained therein.
Source: Medtronic plc via Globenewswire
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