American Society for reconstructive Microsurgery. Annual Meeting. Marco Island, FL, USA, 1995/01.
Reliable information on cost and value in microsurgery is not readily available in the literature.
Driving factors for cost, determinants of complications, and cost-reduction strategies have not been elucidated in this population, despite such progress in other areas of medicine.
Clearly, the time-consuming and costly nature of this endeavor demands that appropriate indications and patient management be delineated ; to operate proactively in this cost-conscious time, financial and outcome determinations are critical.
One hundred seven consecutive free-tissue transfers performed from 1991 to 1994 by a single microsurgeon were studied.
Retrospective chart review for clinical parameters was combined with analysis of hospital costs and professional charges.
Operating room and anesthesia costs were based on a microcost analysis of actual operating room time, materials, labor, and overhead.
Other patient level costs were generated by Transition 1, a hospital cost-accounting system.
The following issues were addressed :
(1) flap survival ;
(2) total costs and length of stay for all free flaps ;
(3) payments received from various insurers ;
(4) breakdown of operating room costs by labor, supplies, and overhead ;
(5) breakdown of inpatient costs by category ;
(6) additional costs of complications and takebacks ;
(7) factors associated with complications and flap takebacks ;
and (8) cost-reduction strategies. (...)
Mots-clés Pascal : Microchirurgie, Coût, Analyse coût efficacité, Lambeau libre, Etude comparative, Traitement, Economie, Homme, Chirurgie
Mots-clés Pascal anglais : Microsurgery, Costs, Cost efficiency analysis, Free flap, Comparative study, Treatment, Economy, Human, Surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0361547
Code Inist : 002B30A04B. Création : 14/12/1999.