Evidence map›Paper›PMID 33173657›Full record

ArticlePlastic and reconstructive surgery. Global open2020

Cost-effectiveness Analysis of Abdominal-based Autogenous Tissue and Tissue-expander Implant following Mastectomy.

Achilles Thoma, Ronen Avram, Arianna Dal Cin, Jessica Murphy, Eric Duku, Feng Xie

2 registry-linked trialsOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 43% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04985552 nanot yet recruitingnot on this mapstarted 2021, after this paper: background citation

Closed Incision Negative Pressure Therapy Compared to Conventional Dressing Following Autologous Abdominal Tissue Breast Reconstruction: A Pilot Randomized Control Trial

TypeinterventionalSponsorMcMaster UniversityRan2021 to 2022Enrolled24ConditionsBreast CancerArmsDIEP Breast Reconstruction, ciNPT, Conventional Tape Dressings
NCT05907941 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Closed Incision Negative Pressure Therapy Compared to Conventional Dressing Following Autologous Abdominal Tissue Breast Reconstruction: A Randomized Control Trial

TypeinterventionalSponsorMcMaster UniversityRan2024 to 2026Enrolled114ConditionsBreast Cancer, Wound Dehiscence, SurgicalArmsciNPT, Conventional Tape Dressings, DIEP Breast Reconstruction
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Achilles ThomaDepartment of Surgery, Division of Plastic Surgery, McMaster University, Hamilton, Ontario, Canada.
Ronen AvramDepartment of Surgery, Division of Plastic Surgery, McMaster University, Hamilton, Ontario, Canada.
Arianna Dal CinDepartment of Surgery, Division of Plastic Surgery, McMaster University, Hamilton, Ontario, Canada.
Jessica MurphyDepartment of Surgery, Division of Plastic Surgery, McMaster University, Hamilton, Ontario, Canada.
Eric DukuDepartment of Psychiatry and Behavioural Neuroscience, McMaster University, Hamilton, Ontario, Canada.
Feng XieDepartment of Health Research Methods, Evidence and Impact (HEI), McMaster University, Hamilton, Ontario, Canada.
McMaster University · CAImpact · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients who had undergone both autologous abdominal tissue (AAT) and tissue expander and implant (TE/I) breast reconstruction reported satisfaction with their reconstruction. While aesthetics and quality of life are important, the cost associated with these procedures must also be considered when choosing one method over the other. The objective of this study was to determine whether AAT-based breast reconstruction is cost-effective compared with 2-stage TE/I reconstruction at a 12-month follow-up.

methodsThirty-five patients consented and complied to participate in the study with a follow-up of 12 months. The effectiveness of both AAT and TE/I was measured using the Health Utilities Index Mark 3 (HUI-3). From the HUI-3 results, quality-adjusted life years were calculated for each reconstructive approach. Direct healthcare and productivity costs were captured from surgeon billing codes, patient files, and patient diaries. The perspectives of both the Ministry of Health and of society were considered.

resultsFrom the perspectives of both the Ministry of Health and of society, AAT was less effective and more costly when compared with TE/I.

conclusionsIn this economic evaluation, TE/I dominated AAT, in that TE/I was more effective and less costly as compared with AAT from the perspectives of both the Ministry of Health and of society at 12 months of follow-up. This conclusion should be interpreted with caution due to a small sample size, the short timespan of the study, and the nonrandomized study design.

Identifiers

PMID33173657
PMCPMC7647652
OpenAlexW3098826755

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.