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  1. Microsurgery costs and outcome.

    Article, Communication - En anglais

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0361547

    Code Inist : 002B30A04B. Création : 14/12/1999.