Establishment of a clinical pathway as an effective tool to reduce hospitalization and charges after video-assisted thoracoscopic pulmonary resection

Riichiroh Maruyama, Tetsuro Miyake, Miyako Kojo, Yoshiro Aoki, Ryuichi Suemitsu, Tatsuro Okamoto, Hiroshi Wataya, Yukito Ichinose

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Objective. The purpose of this study was to assess the effect of establishing a clinical pathway based on the length of hospitalization, hospital charges, and the outcome for video-assisted thoracoscopic pulmonary resection (VATPR). Methods. We retrospectively analyzed consecutive patients who were diagnosed as having primary lung cancer, metastatic lung cancer, or a nodule that was suspected to be malignant and thus was operated on using VATPR during the 1-year period before (n = 105) and after (n = 113) pathway implementation. Results. The mean economic cost and total hospital stay before and after pathway implementation were about $14439 and $13093 (US), and 29.4 and 18.6 days, respectively. These figures were significantly lower after pathway implementation than before establishment of the pathway. Conclusion. A clinical pathway is thus considered useful for reducing the length of total hospital stay and the costs associated with VATPR while maintaining high-quality postoperative care.

Original languageEnglish
Pages (from-to)387-390
Number of pages4
JournalJapanese Journal of Thoracic and Cardiovascular Surgery
Issue number9
Publication statusPublished - Sep 1 2006


All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

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