A Health Technology Assessment in Maxillofacial Cancer Surgery by Using the Six Sigma Methodology.
drugs
health technology assessment
healthcare
maxillofacial surgery
six sigma
Journal
International journal of environmental research and public health
ISSN: 1660-4601
Titre abrégé: Int J Environ Res Public Health
Pays: Switzerland
ID NLM: 101238455
Informations de publication
Date de publication:
18 09 2021
18 09 2021
Historique:
received:
03
08
2021
revised:
06
09
2021
accepted:
15
09
2021
entrez:
28
9
2021
pubmed:
29
9
2021
medline:
30
10
2021
Statut:
epublish
Résumé
Squamous cell carcinoma represents the most common cancer affecting the oral cavity. At the University of Naples "Federico II", two different antibiotic protocols were used in patients undergoing oral mucosa cancer surgery from 2006 to 2018. From 2011, there was a shift; the combination of Cefazolin plus Clindamycin as a postoperative prophylactic protocol was chosen. In this paper, a health technology assessment (HTA) is performed by using the Six Sigma and DMAIC (Define, Measure, Analyse, Improve, Control) cycle in order to compare the performance of the antibiotic protocols according to the length of hospital stay (LOS). The data (13 variables) of two groups were collected and analysed; overall, 136 patients were involved. The American Society of Anaesthesiologist score, use of lymphadenectomy or tracheotomy and the presence of infections influenced LOS significantly (
Identifiants
pubmed: 34574768
pii: ijerph18189846
doi: 10.3390/ijerph18189846
pmc: PMC8469470
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
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