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Breast Reconstruction: Economic Impact Swiss Health Insurance System

Background: Considering present concerns about healthcare costs and the lack of evidence and published articles on breast reconstruction costs in Switzerland, we retrospectively investigated charges to the Swiss healthcare system for different breast reconstruction procedures at the Centre Hospitali...

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Autores principales: Martin, Jeanne, di Summa, Pietro G., Raffoul, Wassim, Koch, Nathalie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9787397/
https://www.ncbi.nlm.nih.gov/pubmed/36547997
http://dx.doi.org/10.3390/medicines9120064
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author Martin, Jeanne
di Summa, Pietro G.
Raffoul, Wassim
Koch, Nathalie
author_facet Martin, Jeanne
di Summa, Pietro G.
Raffoul, Wassim
Koch, Nathalie
author_sort Martin, Jeanne
collection PubMed
description Background: Considering present concerns about healthcare costs and the lack of evidence and published articles on breast reconstruction costs in Switzerland, we retrospectively investigated charges to the Swiss healthcare system for different breast reconstruction procedures at the Centre Hospitalier Universitaire Vaudois. Methods: We selected all hospitalized patients at the University Hospital who underwent a “total” delayed breast reconstruction from January 2012 to December 2015. Analysis included 72 women who underwent autologous or implant-based reconstructions. Three main breast reconstruction techniques were included: Deep Inferior Epigastric Perforator (n = 46) autologous flap reconstruction, Tissue Expander followed by Implant (n = 12) and pedicled Latissimus Dorsi (n = 12) flap with or without tissue expander and implant (n = 7). For all different groups, the global costs of reconstruction and total number of required operations were statistically compared. Results: Global costs for Deep Inferior Epigastric Perforator reconstruction were 29,728 ± 1892 CHF (avg ± Std. Error of Mean), while Tissue Expander reconstruction showed a significantly higher global cost, reaching an average of 44,313 ± 5553 CHF (avg ± Std. Error of Mean). LD showed a similar cost, compared to the Deep Inferior Epigastric Perforator reconstruction (29,813 ± 3637 CHF), increasing when including an implant (37,688 ± 4840 CHF). No significant differences in the number of interventions were detected. Conclusion: These data show that autologous breast reconstruction (DIEP) delivers the best cost ratio, with lower overall costs. Implant-based reconstructions showed a greater likelihood of complications and re-intervention, globally creating superior costs when compared to autologous reconstructions.
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spelling pubmed-97873972022-12-24 Breast Reconstruction: Economic Impact Swiss Health Insurance System Martin, Jeanne di Summa, Pietro G. Raffoul, Wassim Koch, Nathalie Medicines (Basel) Article Background: Considering present concerns about healthcare costs and the lack of evidence and published articles on breast reconstruction costs in Switzerland, we retrospectively investigated charges to the Swiss healthcare system for different breast reconstruction procedures at the Centre Hospitalier Universitaire Vaudois. Methods: We selected all hospitalized patients at the University Hospital who underwent a “total” delayed breast reconstruction from January 2012 to December 2015. Analysis included 72 women who underwent autologous or implant-based reconstructions. Three main breast reconstruction techniques were included: Deep Inferior Epigastric Perforator (n = 46) autologous flap reconstruction, Tissue Expander followed by Implant (n = 12) and pedicled Latissimus Dorsi (n = 12) flap with or without tissue expander and implant (n = 7). For all different groups, the global costs of reconstruction and total number of required operations were statistically compared. Results: Global costs for Deep Inferior Epigastric Perforator reconstruction were 29,728 ± 1892 CHF (avg ± Std. Error of Mean), while Tissue Expander reconstruction showed a significantly higher global cost, reaching an average of 44,313 ± 5553 CHF (avg ± Std. Error of Mean). LD showed a similar cost, compared to the Deep Inferior Epigastric Perforator reconstruction (29,813 ± 3637 CHF), increasing when including an implant (37,688 ± 4840 CHF). No significant differences in the number of interventions were detected. Conclusion: These data show that autologous breast reconstruction (DIEP) delivers the best cost ratio, with lower overall costs. Implant-based reconstructions showed a greater likelihood of complications and re-intervention, globally creating superior costs when compared to autologous reconstructions. MDPI 2022-12-16 /pmc/articles/PMC9787397/ /pubmed/36547997 http://dx.doi.org/10.3390/medicines9120064 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Martin, Jeanne
di Summa, Pietro G.
Raffoul, Wassim
Koch, Nathalie
Breast Reconstruction: Economic Impact Swiss Health Insurance System
title Breast Reconstruction: Economic Impact Swiss Health Insurance System
title_full Breast Reconstruction: Economic Impact Swiss Health Insurance System
title_fullStr Breast Reconstruction: Economic Impact Swiss Health Insurance System
title_full_unstemmed Breast Reconstruction: Economic Impact Swiss Health Insurance System
title_short Breast Reconstruction: Economic Impact Swiss Health Insurance System
title_sort breast reconstruction: economic impact swiss health insurance system
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9787397/
https://www.ncbi.nlm.nih.gov/pubmed/36547997
http://dx.doi.org/10.3390/medicines9120064
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