Case #409

Vulvectomy

Added by Anonymous over 5 years ago. Updated about 4 years ago.

Status:AcceptedStart date:2015-02-26
Priority:MinorSpent time:-
Assignee:Kristin Dahlen
Category:-
Target version:Expert Group 2015
Initiator:Norway Target year:2016
Case type:Minor Owner / responsible:National organisations
MDC:MDC03 Old forum status:
Target Grouper:COMMON, DEN, EST, FIN, ICE, LAT, NOR, SWE

Description

National ID: HD-0119
Initiated: 2015-02-25
Initiator: Norwegian Directorate of Health
Responsible at National organization: Kristin Dahlen
Sent to NordDRG Forum: 2015-02-25
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Problem
Cases with vulvectomy LFSD00/LFD00 are assigned to DRG 360/E20E-C 'Vagina, cervix & vulva procedures', although we have a DRG 353/O01N 'Pelvic evisceration, radical hysterectomy & radical vulvectomy'.

Cases with LFSD10/LFD10 'Vulvectomy and excision of regional lymph nodes' are assigned to DRG 353/O01N.

Analysis
Norwegian directorate of health
No economic analysis available.

Suggestion
Norwegian directorate of health – 2015-02-25

We suggest that LFSD00/LFD00 is given the PROCPR 13S01 that would result in assignment to DRG 353/O01N.

409RalphDahlgrenComment.jpg (44 KB) Anonymous, 2015-03-12 11:54

Case #409 - Technical changes.xlsx (12.7 KB) Martti Virtanen, 2015-03-17 11:35

History

#1 Updated by Martti Virtanen over 5 years ago

  • Description updated (diff)

2015-03-05 Martti Virtanen
Currently the thinking has been that LFSD00/LFD00 'Vulvectomy' is smaller operation than LFSD10/LFD10 'Vulvectomy and excision of regional lymph nodes' and therefore cases with the less radical interventions have been assigned to the DRG with lower weight.

If this is not the case, the grouping should obviously be changed.

However, there is need for economic analysis in this cases. Possibly other countries can provide cost information.

#2 Updated by Ralph Dahlgren over 5 years ago

Here are cost data (KPP 2013) from Sweden.

As you can see LFD00 fits not very well in DRG O20E/360. Seven of the eight cases have become outlayers. If they are moved to DRG O01N/353 they will all be inlayers and fit rather well there. Thus Swedish cost data support the Norwegian suggestion.

#3 Updated by Anonymous over 5 years ago

#4 Updated by Martti Virtanen over 5 years ago

2015-03-13 Expert group/MV
Accepted according to Norwegian proposal.

Technical change
Procprop for LFSD00/LFD00 'Vulvectomy' is changed from 13S04 to 13S01.

DRG change
Cases with LFSD00/LFD00 'Vulvectomy' will be assigned to DRG 353/O01N 'Pelvic evisceration, radical hysterectomy & radical vulvectomy' instead of DRG 360/E20E-C 'Vagina, cervix & vulva procedures'.

#5 Updated by Anonymous over 4 years ago

  • Target version changed from Minor-Proposals-for-2016 to Expert Group 2015

#6 Updated by Martti Virtanen over 4 years ago

2016-03-15 Expert group (MV)
The case was closed without further comments.

#7 Updated by Anonymous about 4 years ago

  • Status changed from Active to Accepted

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