The economic viability of breast reconstruction in the UK: comparison of a single surgeon's experience of implant; LD; TRAM and DIEP based reconstructions in 274 patients
| Autor: | Pouria Moradi, A.J. Hills, Simon H. Wood, Duncan D. Atherton, N. Muirhead |
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| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
business.industry Mammaplasty Retrospective cohort study Breast Neoplasms Audit Length of Stay Middle Aged Single surgeon Surgical Flaps United Kingdom Surgery Patient satisfaction Economic viability Costs and Cost Analysis Medicine Humans Female Implant business Breast reconstruction Rectus abdominis muscle Breast Implantation Retrospective Studies |
| Zdroj: | Journal of plastic, reconstructiveaesthetic surgery : JPRAS. 64(6) |
| ISSN: | 1878-0539 |
| Popis: | A retrospective audit was performed of patients undergoing breast reconstruction under the care of the senior author from 2000 to 2007. We documented reconstruction type, length of stay and total number of revisions. Income to the trust based on the 2008/9 HRG codes along with any "top ups" was also recorded. This was compared to calculations of cost to the trust of performing each reconstruction. 274 patients had 278 primary reconstructions and a further 366 revisions. Only patients with a minimum one-year's follow-up were included (mean 3 years). This included 68 DIEPs'; 39 TRAMs'; 98 LDs'; and 73 implant reconstructions. The median length of stay for implant based reconstruction was 4 days; 9 for LD flaps; 11 for TRAMs' and 8 for DIEPs'. This was significantly shorter for the implant group compared to other reconstructions (P |
| Databáze: | OpenAIRE |
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