AI Article Synopsis
- Free-flap mandibular reconstruction is a complex surgery that can lead to severe complications, resulting in additional medical interventions and hospital stays, significantly driving up costs.
- A multicentric study aimed to measure the direct hospital costs associated with this surgery, analyzing expenses from the initial consultation to the patient's return home.
- The average total cost for the procedure was 34,009€, with hospital stay being the biggest expense; complications raised costs by 77.3%, mostly due to ICU and hospital unit care.
Article Abstract
Free-flap mandibular reconstruction is a highly specialized procedure associated with severe complications necessitating re-interventions and re-hospitalizations. This surgery is expensive in terms of health workers' time, equipment, medical devices and drugs. Our main objective was to assess the direct hospital cost generated by osseocutaneous free-flap surgery in a multicentric prospective micro-costing study. Direct medical costs evaluated from a hospital perspective were assessed using a micro-costing method from the first consultation with the surgeon until the patient returns home, thus confirming the success or failure of the free-flap procedure. The mean total cost for free-flap intervention was 34,009€ (5151-119,604€), the most expensive item being the duration of hospital bed occupation, representing 30-90% of the total cost. In the event of complications, the mean cost increased by 77.3%, due primarily to hospitalization in ICU and the conventional unit. This surgery is effective and provides good results but remains highly complex and costly.
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| http://dx.doi.org/10.1007/s00405-016-4360-3 | DOI Listing |
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