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Spending more on trauma care doesn't translate to higher survival rates
Date:8/10/2012

sed lung and bleeding in the chest, shinbone (tibia) fracture, mild traumatic brain injury and liver injury.

After controlling for a variety of factors that could bias the results including injury severity, the presence of chronic illnesses, variations in regional prices for goods the researchers estimated that the average per-person cost in the Northeast for trauma care for all five injury types combined was $14,022. The cost was 18 percent higher in the South, 22 percent more in the Midwest and 33 percent more in the West.

Of the injury types, the most expensive was for liver injury. For liver injury, the average cost of care in the Northeast was $16,213, while the cost was 18 percent more in the South, 22 percent more in the Midwest and 35 percent more in the West.

The Northeast also had the lowest costs for each of the five types of injury, while the West had the highest, even after accounting for known differences in the widely used consumer price index.

Haider, a trauma surgeon, cautions that when looking for ways to cut costs, researchers should look closely at outcomes beyond survival alone to make sure the more expensive care isn't better in some way. For example, it may be possible, he says, that higher-cost regions have patients with less pain and fewer disabilities after recovery.

"If surgeons are fixing tibia fractures in the West in a way that's more expensive but makes patients more comfortable, that would not be a trivial finding," Haider says. "We really need to drill down and figure out what parts of care improve outcomes and what parts drive up costs without improving any outcomes or aspects of care important to patients."


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Contact: Stephanie Desmon
sdesmon1@jhmi.edu
410-955-8665
Johns Hopkins Medicine
Source:Eurekalert

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