{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T07:04:08Z","timestamp":1789369448618,"version":"build-2803163510"},"reference-count":43,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100031447","name":"Solventum","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100031447","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["INQUIRY"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Surgical site complications (SSCs) such as surgical site infections (SSIs) cause significant morbidity and mortality for patients and raise costs. Our goal was to estimate the frequency and cost of SSCs (including SSIs) in France for orthopedic, cardiac, digestive (gastrointestinal), and bariatric surgeries including costs of index admission and readmissions due to SSCs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We used a national hospital database and included the prevalence of SSCs for patients admitted in 2018. Patients were categorized by type of SSC (infection related to surgery; infection associated to surgery; non-infectious complication; no complication related to the surgical incision). Cost, length of stay, and readmission data was analyzed using the French Diagnostic Related Groups (DRG), Groupements Homog\u00e8nes de S\u00e9jours (GHS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Estimated SSIs rates ranged from 0.44% in orthopedic to 3.09% in digestive surgery. Cardiac surgery had the highest rate of overall complications (14.91%), of which 89.26% were non-infectious. Cardiac surgery SSCs had the highest rates of readmissions (from 3.6% at 30 days to 9.9% at 365 days) while orthopedic surgery SSCs had the lowest (1.5% and 4.1% respectively). The overall economic impact of SSIs in additional length of stay ranged from 11.1 to 28.1 days, and from 6,622 to 22,109 euros for costs. Considering the general population receiving surgery for these specialties in 2018, the added expense for payers due to readmissions related to SSCs reached approximately 840 M\u20ac.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The occurrence of an SSC generates a financial burden to the care organization. New indicators may support better control of SSCs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00469580261486801","type":"journal-article","created":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T20:53:36Z","timestamp":1789160016000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Nationwide Burden and Hospital Costs of Surgical Site Complications in France: A Retrospective Analysis of the French National PMSI Administrative Database"],"prefix":"10.1177","volume":"63","author":[{"given":"Victor-Alexandre","family":"Aragno","sequence":"first","affiliation":[{"name":"M\u00e9dian Conseil, Pau, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Talla","sequence":"additional","affiliation":[{"name":"Medical Affairs, Solventum"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"St\u00e9phane","family":"Sanchez","sequence":"additional","affiliation":[{"name":"Public Health Department, Centre Hospitalier de Troyes, Troyes, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1045-4666","authenticated-orcid":false,"given":"Franck","family":"Maunoury","sequence":"additional","affiliation":[{"name":"Le Mans University, Le Mans, France"},{"name":"Stat\u00e9sia, Yvr\u00e9-l'\u00c9v\u00eaque, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2908-4581","authenticated-orcid":false,"given":"St\u00e9phanie F.","family":"Bernatchez","sequence":"additional","affiliation":[{"name":"Medical Affairs, Solventum"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beno\u00eet","family":"Thom\u00e9","sequence":"additional","affiliation":[{"name":"M\u00e9dian Conseil, Pau, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,11]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.sopen.2023.05.004"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2017.03.004"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2022.24075"},{"key":"e_1_3_6_5_2","unstructured":"Centers for Disease Control and Prevention (CDC) and National Healthcare Safety Network (NHSN). Surgical site infection event (SSI). 2024:41 pages. https:\/\/www.cdc.gov\/nhsn\/pdfs\/pscmanual\/9pscssicurrent.pdf (Accessed on 24Sep24)."},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)33139-8"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2023-076735"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.42493"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0232960"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2021.712461"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.1053\/jhin.2001.1003"},{"key":"e_1_3_6_12_2","unstructured":"Sant\u00e9 Publique France. Enqu\u00eate nationale de pr\u00e9valence des infections nosocomiales et des traitements anti-infectieux en \u00e9tablissements de sant\u00e9 mai-juin 2017. 2017. https:\/\/www.santepubliquefrance.fr\/recherche\/#search=Enqu%C3%AAtenationaledepr%C3%A9valencedesinfectionsnosocomialesetdestraitementsanti-infectieuxen%C3%A9tablissementsdesant%C3%A9 France mai-juin2017. (Accessed 25 Sep 24)."},{"key":"e_1_3_6_13_2","unstructured":"Sant\u00e9 Publique France. Surveillance des infections du site op\u00e9ratoire dans les \u00e9tablissements de sant\u00e9 fran\u00e7ais (Mission Spicmi donn\u00e9es 2018 du r\u00e9seau ISO Raisin). 2020:1-104. 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