Colon + Hemorrhoids

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Minimally Invasive Colorectal Surgery Resources for Payors
Learn more about minimally invasive colorectal surgery and their benefits/risks with these resources:

Minimally Invasive Procedures (MIP) Value Dossier

This MIP Value Dossier provides a clinical overview of minimally invasive surgical procedures (MIP) as used in four distinct clinical indications: hysterectomy, appendectomy, cholecystectomy, and colectomy. In addition, a comparison of key clinical and economic outcomes in these settings with MIP vs. conventional open surgical approaches, as reported in recent published clinical trials, is presented.

Minimally Invasive Surgery and Reimbursement

Differences have been found between minimally invasive surgery vs. open procedures for shorter hospital length of stay, quicker return to work and return to normal activities. For more details, review the study of over 112 clinical papers regarding the following MIP Procedures: Cholecystectomy, Appendectomy, Colectomy, Hysterectomy, Ventral Hernia Repair and Fundoplication.

  • Adam R. Roumm, MSPH, Laura Pizzi, PharmD, MPH, Neil I. Goldfarb, and Herbert Cohn, MD. Minimally Invasive: Minimally Reimbursed? An Examination of Six Laparoscopic Surgical Procedures Surgical Innovation. Vol 12, No 3 (September), 2005: pp 261-287. PubMed Link

Minimally Invasive Surgery Outcomes for Appendectomy and Colectomy

A recent study of national payor claims finds that minimally invasive surgical (MIS) techniques for appendectomy and colectomy offer several clinical & cost benefits when compared to open surgical procedures, including:

  • lower infection rates
  • fewer complications
  • shorter hospital stays
  • lower health care expenditures
  • Terrence M. Fullum, Joseph A. Ladapo, Bijan J. Borah, et al. Comparison of the clinical and economic outcomes between open and minimally invasive appendectomy and colectomy: evidence from a large commercial payer database, Surgical Endoscopy, 2010 April, 24(4):845-53 PubMed Link

Colon & Hemorrhoids Resources for Employers
Share these resources with your employees and health plan members to help them understand the facts about their possible options for minimally invasive procedures:

American Society of Colon and Rectal Surgeons (ASCRS)

American Gastroenterological Association

American Cancer Society

C3: Colorectal Cancer Coalition

CancerCare

Colon Cancer Alliance

National Cancer Institute

Crohn's Disease

Crohn's and Colitis Foundation

Ulcerative Colitis
http://digestive.niddk.nih.gov/ddiseases/pubs/colitis/
http://www.mayoclinic.com/health/ulcerative-colitis/DS00598

Diverticular Disease
http://digestive.niddk.nih.gov/ddiseases/pubs/diverticulosis/
http://www.webmd.com/digestive-disorders/diverticular-disease

Non-Cancerous Polyps

http://www.webmd.com/colorectal-cancer/tc/colon-polyps-topic-overview
http://digestive.niddk.nih.gov/ddiseases/pubs/colonpolyps_ez/

Hemorrhoids

National Digestive Diseases Clearinghouse – Hemorrhoids