Impact of diagnosis-related groups on the quality of postoperative care of patients with neck dissections*
1990
Two hundred eighty patients underwent
neck dissectionover a 10-year period: 138 during the 5-year period before the institution of
Diagnosis-Related Group(DRG) reimbursement and 142 during the 5 years after DRG regulations. A comparison of these two groups by site of tumor, stage of disease, histopathology, previous treatment, type of
neck dissection, whether
neck dissectionwas carried out alone or in combination with another procedure, presence of preexisting disease, postoperative complications, and mortality revealed no significant differences. A 35% reduction in the length of hospital stay from 16 to 10 days was identified in the post-DRG group with no detrimental effects on patient care. The variables found to have the greatest impact on length of hospital stay were the extent of operation and postoperative complications.
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