Spots Global Cancer Trial Database for Optimization of Health Expenditure in Liver Surgery

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Trial Identification

Brief Title: Optimization of Health Expenditure in Liver Surgery

Official Title: Optimization of Health Expenditure in Major Surgery: Impact of a Mixed, Clinical and Ethnographic Approach in the Model of Liver Surgery

Study ID: NCT01715402

Conditions

Hepatocellular Carcinoma

Hilar Cholangiocarcinoma

Intra Hepatic Cholangiocarcinoma

Liver Metastasis

Interventions

liver surgery

Study Description

Brief Summary: The aim of this study is to reduce the length of stay after liver surgery by taking account of objective quantitative clinical variables, subjective qualitative clinical variables and non clinical variables.

Detailed Description: a new dimension of the activity expected of physicians is to improve the safety of care on the one hand and the control of health care costs on the other. key measures to help them are the publication of national recommendations, assessment of actual practices and the incentive to activity. Internationalwide recent and concordant data suggest that * quality and security of care, after an initial improvement, are going to stall * scientific recommendations are rarely validated by an impact analysis and are not applied * clinical data collected within an administrative framework are unreliable and too generalist * the evaluation, especially in the surgical field, is based on indicators sometimes irrelevant and often unclear