Cost analysis of postmastectomy reconstruction: A comparison of two staged implant reconstruction using tissue expander and acellular dermal matrix with abdominal‐based perforator free flaps

Tran, Bich; Fadayomi, Ayòtúndé; Lin, Samuel J.; Singhal, Dhruv; Lee, Bernard T.

doi:10.1002/jso.24692

Cited by 25 publications

(20 citation statements)

References 56 publications

(72 reference statements)

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“…Therefore, no score was assigned in these criteria. The 2 comparative cost analysis studies by Tran et al 29 and Matros et al 30 both scored an overall "low risk of bias." The prospective cohort study of Lagares-Borrego et al 1 and the retrospective observational cohort study of Ricci et al 31 scored a high risk of bias on 1 criterion (1 of 14 criteria) as well as the study of Pelletier et al (1 of 7 criteria).…”

Section: Risk Of Bias Within Studiesmentioning

confidence: 99%

“…To assess the quality of the cost analysis studies, the short checklist by Drummond et al was used ( Table 5). The study of Tran et al 29 as well as the study of Matros et al had an overall score of "low risk of bias." 30…”

Section: Cost Analysis Studiesmentioning

confidence: 99%

“…Partially, due to different healthcare systems, costs of a single DIEP flap procedure showed a widespread variation (Table 6), varying from $6454 in the Netherlands to $69 094 in the United States of America and Canada. 29,30,32 Likewise, a widespread variation in costs commencing a successful bilateral DIEP flap surgery was observed, ranging from $9478 in the Netherlands to $87 490 in the United States of America and Canada. 29,30,32 A large variance in overall costs across studies was observed, which can be explained by differences in departmental costs between countries.…”

Section: Economic Analysis Of Tissue Oximetrymentioning

confidence: 99%

See 2 more Smart Citations

Economic Analysis of Noninvasive Tissue Oximetry for Postoperative Monitoring of Deep Inferior Epigastric Perforator Flap Breast Reconstruction: A Review

et al. 2020

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Background. Postoperative monitoring of deep inferior epigastric perforator (DIEP) flaps for breast reconstruction using noninvasive tissue oximetry enables timely recognition of vascular compromise. This may limit ischemic tissue damage, minimizing postoperative morbidity and healthcare costs. The aim of this review was to provide an economic analysis of tissue oximetry for postoperative monitoring of DIEP flap breast reconstruction. Methods. A systematic literature search was conducted utilizing PubMed and Embase. Articles reporting costs related to tissue oximetry following DIEP flap breast reconstruction, costs directly related to DIEP flap surgical procedure, and costs associated with postoperative complications were included. Risk of bias was assessed using different tools depending on study type. Results. Six articles were included. Four studies provided an overview of total costs associated with DIEP flap breast reconstruction; two studies focused on whether tissue oximetry could facilitate a decrease in hospital costs. Average overall costs for DIEP flap procedure were estimated at $28 000, with additional costs up to $37 530 in case of total flap failure. Tissue oximetry to monitor DIEP flaps could potentially save up to $1667 per procedure. Moreover, it might eliminate the need for specialized postoperative care. Conclusion. Tissue oximetry following DIEP flap breast reconstruction can potentially facilitate a decrease in hospital costs since its readings enable physicians to intervene in an early stage of tissue malperfusion, contributing to minimizing complications. Tissue oximetry may eliminate the need for specialized postoperative care. However, based on the current literature, no firm conclusions can yet be drawn regarding cost-effectiveness of standard implementation.

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Section: Risk Of Bias Within Studiesmentioning

confidence: 99%

Section: Cost Analysis Studiesmentioning

confidence: 99%

Section: Economic Analysis Of Tissue Oximetrymentioning

confidence: 99%

See 1 more Smart Citation

Economic Analysis of Noninvasive Tissue Oximetry for Postoperative Monitoring of Deep Inferior Epigastric Perforator Flap Breast Reconstruction: A Review

et al. 2020

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“…However, additional cost is incurred if breast reconstruction is associated with Acellular Dermal Matrix (ADM). 13,14 ADM is frequently used in expander based breast reconstruction because facilitates complete implant coverage providing support to the inferior-lateral pole of the implant. ADM gives a faster tissue expansion, a reduction of post-operative pain and an improvement of the aesthetic outcome, 15,16 reducing concerns for complications such as rippling and malposition.…”

Section: Introductionmentioning

confidence: 99%

Local safety of immediate reconstruction during primary treatment of breast cancer. Direct-to-implant versus expander-based surgery

Riggio

Toffoli

Tartaglione

et al. 2019

Journal of Plastic, Reconstructive & Aesthetic Surgery

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“…In this manuscript, Cost Analysis of Postmastectomy Reconstruction: A Comparison of Two Staged Implant Reconstruction using Tissue Expander and Acellular Dermal Matrix with Abdominal Based Perforator Free Flaps by Tran et al the authors concluded that DIEP flap reconstruction incurred lower costs compared to tissue expander − implant − acellular dermal matrix (TE‐I‐ADM) reconstruction. The calculations for the study were based on Medicare reimbursement costs for each procedure that also included the costs of the associated complications.…”

mentioning

confidence: 99%