Financial fallout from the COVID-19 pandemic:Report from a high-volume academic neurosurgery

G Loganadane; S Senova; P Duportail; K Debbi; M A Cherif; S Ghith; S Tazi; A Marniche; G Gouello; T Idreceanu; P Kauv; P Varlet; Y Belkacemi; S Palfi

doi:10.1016/j.neuchi.2022.04.006

Financial fallout from the COVID-19 pandemic:Report from a high-volume academic neurosurgery

Neurochirurgie. 2022 Oct;68(5):e22-e26. doi: 10.1016/j.neuchi.2022.04.006. Epub 2022 May 24.

Authors

G Loganadane¹, S Senova², P Duportail³, K Debbi¹, M A Cherif¹, S Ghith¹, S Tazi², A Marniche², G Gouello², T Idreceanu², P Kauv⁴, P Varlet⁵, Y Belkacemi¹, S Palfi⁶

Affiliations

¹ Department of Radiation Oncology, AP-HP, Inserm Unit 955 Team 21, University of Paris-Est Creteil (UPEC), Créteil, France.
² Department of Neurosurgery, DMU Care, FHU adapt, Mondor Institute of Biomedical Research, Translational psychiatry, AP-HP, Inserm Unit 955 Team 15, University of Paris-Est Creteil (UPEC), Créteil, France.
³ Department of Medical Informatics, AP-HP, CHU Henri Mondor, University of Paris-Est Creteil (UPEC), Créteil, France.
⁴ Department of Neuroradiology, AP-HP, CHU Henri Mondor, University of Paris-Est, Créteil (UPEC), Créteil, France.
⁵ Department of Neuropathology, Sainte-Anne Hospital, Paris, France.
⁶ Department of Neurosurgery, DMU Care, FHU adapt, Mondor Institute of Biomedical Research, Translational psychiatry, AP-HP, Inserm Unit 955 Team 15, University of Paris-Est Creteil (UPEC), Créteil, France. Electronic address: stephane.palfi@aphp.fr.

Abstract

Background: The global healthcare system has been overwhelmed by the Coronavirus disease-2019 (COVID-19). In order to mitigate the risk of spread of the virus, most elective surgical procedures have been cancelled especially during the lockdown periods. The purpose of this study was to assess the financial impact of the COVID outbreak due to the supposed reduced workload from our neurosurgery department in 2020.

Methods: Number of neurosurgical procedures (NSP) within the Department of Neurosurgery and their associated estimated income were retrospectively reviewed globally and month wise from administrative records of billing in 2020 and 2019 based on the Diagnosis related group (DRG) and severity of illness (4 levels).

Results: Overall, 824 and 818 inpatient surgical procedures were performed in 2019 and 2020 respectively. The total estimate revenue generated from inpatient surgeries was moderately decreased (3%): 9 498 226.41 euros in 2020 versus 9 817 361.65 euros in 2019 without significant difference across DRG (P=0.96) and severity of illness.

Conclusions: Our data suggests a moderate negative impact of the COVID-19 pandemic had on neurosurgical and financial activity. However, a more in-depth medico-economic analysis need to be performed to assess the real financial impact.

Keywords: Covid 19 pandemic; Income; Neurosurgical procedures.

MeSH terms

COVID-19* / epidemiology
Communicable Disease Control
Humans
Neurosurgery*
Neurosurgical Procedures
Pandemics
Retrospective Studies