TY - JOUR
T1 - Comparison of resource costs between implant-based and TRAM flap breast reconstruction
AU - Kroll, Stephen S.
AU - Evans, Gregory R.D.
AU - Reece, Gregory P.
AU - Miller, Michael J.
AU - Robb, Geoffrey
AU - Baldwin, Bonnie J.
AU - Schusterman, Mark A.
N1 - Copyright:
Copyright 2007 Elsevier B.V., All rights reserved.
PY - 1996/2
Y1 - 1996/2
N2 - Resource costs, as measured by hours of time in the operating room, days of stay in the hospital, and other costs of care, were evaluated for 240 patients who underwent mastectomy with immediate breast reconstruction using either TRAM flaps or breast implants at The University of Texas M. D. Anderson Cancer Center. To make costs comparable, only patients who completed reconstruction of the nipple were included. As expected, the initial resource costs of implant-based reconstruction were much lower than those of TRAM flap reconstruction. After correcting for patients whose reconstructions were unsuccessful and including the costs of surgery subsequent to the initial reconstruction, however, the cost advantage of implant-based reconstruction disappeared. If current trends continue, it is likely that with increased follow-up, the long-term resource costs of implant-based reconstructions will continue to increase, while those of autogenous tissue reconstructions will not. Autogenous breast reconstruction with the TRAM flap therefore appears to be more cost-effective, in terms of time as well as dollars, in the long run than reconstruction based on prosthetic implants.
AB - Resource costs, as measured by hours of time in the operating room, days of stay in the hospital, and other costs of care, were evaluated for 240 patients who underwent mastectomy with immediate breast reconstruction using either TRAM flaps or breast implants at The University of Texas M. D. Anderson Cancer Center. To make costs comparable, only patients who completed reconstruction of the nipple were included. As expected, the initial resource costs of implant-based reconstruction were much lower than those of TRAM flap reconstruction. After correcting for patients whose reconstructions were unsuccessful and including the costs of surgery subsequent to the initial reconstruction, however, the cost advantage of implant-based reconstruction disappeared. If current trends continue, it is likely that with increased follow-up, the long-term resource costs of implant-based reconstructions will continue to increase, while those of autogenous tissue reconstructions will not. Autogenous breast reconstruction with the TRAM flap therefore appears to be more cost-effective, in terms of time as well as dollars, in the long run than reconstruction based on prosthetic implants.
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U2 - 10.1097/00006534-199602000-00014
DO - 10.1097/00006534-199602000-00014
M3 - Article
C2 - 8559819
AN - SCOPUS:0030053999
SN - 0032-1052
VL - 97
SP - 364
EP - 372
JO - Plastic and reconstructive surgery
JF - Plastic and reconstructive surgery
IS - 2
ER -