Financial implications of pediatric outpatient renal biopsies: A single-center experience

Keith K. Lau, Gerre L. Berg, Lavjay Butani

Research output: Contribution to journalArticle

Abstract

Background: With improvements in technology, renal biopsies have become safer and could potentially be effectively carried out in the outpatient setting. The purpose of our study is to compare the safety and cost of performing outpatient versus inpatient renal biopsies at a single Northern California pediatric hospital. Methods: We retrospectively studied the records of patients who underwent renal biopsy at our hospital during the period June 2001 to June 2006. Patients who were admitted to the hospital were compared with those who underwent biopsy as outpatients and were observed postprocedure for 4 hours for complications. Results: 54 patients underwent 60 biopsies as inpatients and 58 patients underwent 78 biopsies as outpatients. Two inpatients required intervention for bleeding. One patient in the outpatient group was readmitted for persistent gross hematuria that subsided without intervention, and another patient had an inadequate sample obtained. Considering physician, nursing and ancillary hospital charges for the inpatient stay, the difference in cost was US $4,133 per procedure. Conclusions: Our study suggests that discharging patients after a 4-hour monitoring period is a safe practice in a select group of patients. This practice has profound financial advantages by reducing health care costs and potentially improves patient satisfaction.

Original languageEnglish (US)
Pages (from-to)69-74
Number of pages6
JournalJournal of Nephrology
Volume22
Issue number1
StatePublished - 2009

Fingerprint

Outpatients
Pediatrics
Kidney
Biopsy
Inpatients
Hospital Charges
Costs and Cost Analysis
Pediatric Hospitals
Hematuria
Patient Satisfaction
Health Care Costs
Nursing
Hemorrhage
Technology
Physicians
Safety

Keywords

  • Financial impact
  • Outpatient renal biopsy
  • Patient satisfaction

ASJC Scopus subject areas

  • Nephrology

Cite this

Financial implications of pediatric outpatient renal biopsies : A single-center experience. / Lau, Keith K.; Berg, Gerre L.; Butani, Lavjay.

In: Journal of Nephrology, Vol. 22, No. 1, 2009, p. 69-74.

Research output: Contribution to journalArticle

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