Cost-effectiveness Analysis of Abdominal-based Autogenous Tissue and Tissue-expander Implant following Mastectomy.

摘要: Background Patients who had undergone both autologous abdominal tissue (AAT) and expander implant (TE/I) breast reconstruction reported satisfaction with their reconstruction. While aesthetics quality of life are important, the cost associated these procedures must also be considered when choosing one method over other. The objective this study was to determine whether AAT-based is cost-effective compared 2-stage TE/I at a 12-month follow-up. Methods Thirty-five patients consented complied participate in follow-up 12 months. effectiveness AAT measured using Health Utilities Index Mark 3 (HUI-3). From HUI-3 results, quality-adjusted years were calculated for each reconstructive approach. Direct healthcare productivity costs captured from surgeon billing codes, patient files, diaries. perspectives Ministry society considered. Results society, less effective more costly TE/I. Conclusions In economic evaluation, dominated AAT, that as months This conclusion should interpreted caution due small sample size, short timespan study, nonrandomized design.