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Completed

NCT Number: NCT01715402

Optimization of Health Expenditure in Liver Surgery

The aim of this study is to reduce the length of stay after liver surgery by taking account of objective quantitative clinical variables, subjective qualitative clinical variables and non clinical variables.

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Key information

Conditions

Hepatocellular Carcinoma Adenocarcinoma Carcinoma Carcinoma, Hepatocellular Cholangiocarcinoma Digestive System Diseases Digestive System Neoplasms Hilar Cholangiocarcinoma Intra Hepatic Cholangiocarcinoma Klatskin Tumor Liver Diseases Liver Metastasis Liver Neoplasms Neoplasm Metastasis Neoplasms Neoplasms by Histologic Type Neoplasms by Site Neoplasms, Glandular and Epithelial Neoplastic Processes Pathologic Processes Pathological Conditions, Signs and Symptoms

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Amiens North Hospital, Amiens, France

Loading trial locations.

About this study

a new dimension of the activity expected of physicians is to improve the safety of care on the one hand and the control of health care costs on the other.

key measures to help them are the publication of national recommendations, assessment of actual practices and the incentive to activity.

Internationalwide recent and concordant data suggest that

  • quality and security of care, after an initial improvement, are going to stall
  • scientific recommendations are rarely validated by an impact analysis and are not applied
  • clinical data collected within an administrative framework are unreliable and too generalist
  • the evaluation, especially in the surgical field, is based on indicators sometimes irrelevant and often unclear

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • elective liver surgery
  • older than 18
  • agreed to participate
  • surgical procedure included procedures registered as "HLFA003 - 007 ; 009 - 011 ; 017 - 020 ; HLFC002 à 004 ; 027 ; 032 ; 037" in the PMSI database

Exclusion criteria

  • emergency surgery
  • refused to participate

Treatment and study plan

Liver Surgery

Procedure

this intervention type includes hepatectomies; wedge; segmentectomies etc...

Primary outcomes

  1. overall postoperative length of stay

    Time frame: during the 3 months after the surgery

    the overall postoperative length of stay is defined as the hospitalization between the surgery and patient's discharge.

    This period includes the readmission for at least 24 hours in case of outcomes related to the surgery.

Secondary outcomes

  1. peroperative outcomes

    Time frame: during the surgical procedure

    the peroperative outcomes are collected during the surgery and correspond to any event occured during the surgical intervention

  2. postoperative outcomes

    Time frame: after the surgery until postoperative month 3

    the postoperative outcomes correspond to any event occured after the surgical intervention. These outcomes include fistulae; bleeding...

  3. construct of pronostic models

    Time frame: after the postoperative month 3

    the construct of pronostic models include variables that affect the length of stay; morbidity and mortality

  4. evaluation of PMSI indicators

    Time frame: after the postoperative month 3

    this evaluation includes the analysis of PMSI indicators; their validity and the influence of centres on hepatectomies results

Sponsors and collaborators

Lead sponsor

Centre Hospitalier Universitaire, Amiens

Other

Collaborators

  • Assistance Publique - Hôpitaux de Paris

Registry information

Official study title

Optimization of Health Expenditure in Major Surgery: Impact of a Mixed, Clinical and Ethnographic Approach in the Model of Liver Surgery

Important dates

Study start
2012
Primary completion
2015
Study completion
2015
First posted
Oct 29, 2012
Registry last updated
Jun 24, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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