Resource implications of risk-reducing mastectomy and reconstruction

Robertson, Stuart; Summerhayes, Christina; Laws, Siobhan; Rainsbury, Richard

doi:10.1016/j.ejso.2015.10.002

Cited by 9 publications

(3 citation statements)

References 22 publications

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“…In certain patients, “salvage” procedures are performed after implant failures from either infections or severe capsular contracture. The number of patients considered for bilateral breast reconstruction is increasing (Lucas et al, ; Silva, Lapin, Yao, Song, & Sisco; 2015) and is expected to increase further, as prophylactic mastectomy procedures are gradually becoming more common (Kadle et al, ; Robertson, Summerhayes, Laws, & Rainsbury, ). These women are often young and have a long life expectancy.…”

Section: Introductionmentioning

confidence: 99%

Bilateral breast reconstruction with deep inferior epigastric perforator flaps in slim patients

et al. 2017

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Section: Introductionmentioning

confidence: 99%

Bilateral breast reconstruction with deep inferior epigastric perforator flaps in slim patients

et al. 2017

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“…Another study reported total hospital costs without professional service fees or charges for BRRM with immediate DIEP-based breast reconstruction of $ 20,516 and in combination with RRSO and hysterectomy of $ 23,862 for patients treated between 2005 and 2012 [28]. The overall mean cost for BRRM with immediate implant-based breast reconstruction in an UK hospital in Winchester was £ 14,797 per patient treated between 1991 and 2011 [38]. All these studies reported higher hospital costs for the risk-reducing surgical procedures under consideration compared to the calculated costs in our University hospital within the German healthcare system.…”

Section: Discussionmentioning

confidence: 99%

Cost effectiveness of bilateral risk-reducing mastectomy and salpingo-oophorectomy

et al. 2019

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Background Growing demand for risk-reducing surgery in individuals with inherited susceptibility to cancer leads to the question whether these procedures are cost effective for the executing hospitals. This study compared the clinical costs for bilateral risk-reducing mastectomy (BRRM) with and without different types of reconstruction, risk-reducing salpingo-oophorectomy (RRSO), and their combinations with corresponding reimbursements in the statutory health-care system in Germany. Patients and methods Real total costs of care for BRRM with and without reconstruction, RRSO, and their combinations were calculated as the sum of all personnel and technical costs. These costs calculated in a German University hospital were compared with the sum of all reimbursements in the German DRG-based health-care system. Results While sole RRSO, BRRM without reconstruction, and BRRM with secondary DIEP (deep inferior epigastric perforator)—reconstruction still result in a small benefit, we even found shortfalls for the hospital with all other prophylactic operations under consideration. The calculated deficits were especially high for BRRM with implant-based breast reconstruction and for combined operations when the risk reduction is achieved with a minimum of separate operations. Conclusions Risk-reducing surgery in BRCA-mutation carriers is frequently not cost-covering for the executing hospitals in the German health-care system. Thus, appropriate concepts are required to ensure a nationwide care.

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“…In the US 27 , Northern Europe 28 and elsewhere 29 , the use of risk-reducing bilateral mastectomy and immediate reconstruction for high genetic or familial risk is also increasing. In the UK, the overall cost for this procedure is around £ 15,000 30 . This is considerably more than the costs of other forms of risk-reduction, including endocrine manipulation and bilateral salpingo-oophorectomy.…”

Section: Cost-containment and New Ways Of Workingmentioning

confidence: 99%

Oncoplastic training in the UK and perspectives for the future

Rainsbury¹

2017

Mastology

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Resource implications of risk-reducing mastectomy and reconstruction

Cited by 9 publications

References 22 publications

Bilateral breast reconstruction with deep inferior epigastric perforator flaps in slim patients

Bilateral breast reconstruction with deep inferior epigastric perforator flaps in slim patients

Cost effectiveness of bilateral risk-reducing mastectomy and salpingo-oophorectomy

Oncoplastic training in the UK and perspectives for the future

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