Oncoplastic approach in the conservative treatment of breast cancer: analysis of costs

Acta Cirurgica Brasileira

Débora Eleotério De Lima¹  Joel Veiga Filho²  Leda Marques Ribeiro¹  Thiago Bezerra De Morais¹  Luiz Roberto Martins Rocha¹  Yara Juliano¹  Daniela Francescato Veiga²  Lydia Masako Ferreira¹ 

[1] ,UNIVÁS Plastic Surgery Division Pouso Alegre MG ,Brazil

关键词: Breast Neoplasms;    Mastectomy;    Segmental;    Surgery;    Plastic;    Surgical Flaps;    Health Care Costs;    Neoplasias da Mama;    Mastectomia Segmentar;    Cirurgia Plástica;    Retalhos Cirúrgicos;    Custos de Cuidados de Saúde;   

DOI  :  10.1590/S0102-86502012000500006

来源: SciELO

【 摘 要 】

PURPOSE: To analyze the direct costs of conservative surgical treatment of breast cancer, performed in a university hospital, to the Brazilian National Health Care Public System (SUS), checking the impact of the oncoplastic approach on these costs. METHODS: One hundred thirty eight breast cancer patients who had undergone conservative treatment with oncoplastic approach (n=36) or not (control group, n=102), in the period from 2005 to 2010, were enrolled. Sociodemographic and clinical data were recorded. The direct costs of the surgical procedure were obtained and analyzed. RESULTS: Groups did not differ in regard to age (p=0.963), and patients in oncoplastic group had a longer time of hospital stay (p=0.000). The median direct cost for the oncoplastic group was R$461.00 and for the control group was R$229.00 (p=0.000). CONCLUSION: The oncoplastic approach has generated higher direct costs in conservative surgical treatment of breast cancer to SUS.

【 授权许可】

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