Decreases in resource use after implementing an interdisciplinary management program for patients with placenta accreta spectrum

Abstract

Objective

Placenta accreta spectrum (PAS) often causes severe morbidity and demands the availability of abundant health resources. Research has shown that the participation of experienced interdisciplinary groups in specialized centers improves clinical outcomes. Our objective is to measure resource use variation after implementing an interdisciplinary management program for this condition.

Methods

Using detailed billing information, hospital care resource use was measured at constant prices for women with PAS who were treated between 2011 and 2019. Cases were classified before (Group 1) and after (Group 2) the implementation of the program. A third group included women with intraoperative MAP findings (Group 3). Comparisons were made using descriptive statistics.

Results

The mean reduction in resource use after the program was 16.5% per patient. The program also reduced variability in resource use as measured by the standard deviation and the coefficient of variation, which decreased by 55.2% and 46.3%, respectively.

Conclusion

The interdisciplinary management of patients affected by PAS in experienced hospitals is associated with a reduction in resource use and variability.

Keywords:

• Placenta accreta spectrum
• accreta
• resource use
• health economics

Disclosure statement

No potential conflict of interest was reported by the author(s).