Evidence map›Paper›PMID 42270161›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie

Cost of hospital admission after autologous breast reconstruction and factors associated with increased cost: a population-based cohort study.

Oluwatobi R Olaiya, Beraki Abraha, Xi Ming Zhu, Lucas Gallo, Sophocles H Voineskos, Christopher J Coroneos, Zak Mireku, Lawrence Mbuagbaw, Mark McRae

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In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Oluwatobi R OlaiyaFrom the Division of Plastic Surgery, Department of Surgery, McMaster University, Hamilton, Ont. (Olaiya, Zhu, Gallo, Coroneos); the Faculty of Medicine, Dalhousie University, Halifax, N.S. (Abraha); the Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto, Toronto, Ont. (Voineskos, McRae); the Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ont. (Coroneos, Mbuagbaw); the Trinity School of Medicine, Roswell, Ga. (Mireku); the Department of Anesthesia, McMaster University, Hamilton, Ont. (Mbuagbaw); the Biostatistics Unit, Father Sean O'Sullivan Research Centre, St Joseph's Healthcare, Hamilton, Ont. (Mbuagbaw) tobi.olaiya@medportal.ca.
Beraki AbrahaFrom the Division of Plastic Surgery, Department of Surgery, McMaster University, Hamilton, Ont. (Olaiya, Zhu, Gallo, Coroneos); the Faculty of Medicine, Dalhousie University, Halifax, N.S. (Abraha); the Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto, Toronto, Ont. (Voineskos, McRae); the Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ont. (Coroneos, Mbuagbaw); the Trinity School of Medicine, Roswell, Ga. (Mireku); the Department of Anesthesia, McMaster University, Hamilton, Ont. (Mbuagbaw); the Biostatistics Unit, Father Sean O'Sullivan Research Centre, St Joseph's Healthcare, Hamilton, Ont. (Mbuagbaw).
Xi Ming ZhuFrom the Division of Plastic Surgery, Department of Surgery, McMaster University, Hamilton, Ont. (Olaiya, Zhu, Gallo, Coroneos); the Faculty of Medicine, Dalhousie University, Halifax, N.S. (Abraha); the Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto, Toronto, Ont. (Voineskos, McRae); the Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ont. (Coroneos, Mbuagbaw); the Trinity School of Medicine, Roswell, Ga. (Mireku); the Department of Anesthesia, McMaster University, Hamilton, Ont. (Mbuagbaw); the Biostatistics Unit, Father Sean O'Sullivan Research Centre, St Joseph's Healthcare, Hamilton, Ont. (Mbuagbaw).
Lucas GalloFrom the Division of Plastic Surgery, Department of Surgery, McMaster University, Hamilton, Ont. (Olaiya, Zhu, Gallo, Coroneos); the Faculty of Medicine, Dalhousie University, Halifax, N.S. (Abraha); the Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto, Toronto, Ont. (Voineskos, McRae); the Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ont. (Coroneos, Mbuagbaw); the Trinity School of Medicine, Roswell, Ga. (Mireku); the Department of Anesthesia, McMaster University, Hamilton, Ont. (Mbuagbaw); the Biostatistics Unit, Father Sean O'Sullivan Research Centre, St Joseph's Healthcare, Hamilton, Ont. (Mbuagbaw).
Sophocles H VoineskosFrom the Division of Plastic Surgery, Department of Surgery, McMaster University, Hamilton, Ont. (Olaiya, Zhu, Gallo, Coroneos); the Faculty of Medicine, Dalhousie University, Halifax, N.S. (Abraha); the Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto, Toronto, Ont. (Voineskos, McRae); the Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ont. (Coroneos, Mbuagbaw); the Trinity School of Medicine, Roswell, Ga. (Mireku); the Department of Anesthesia, McMaster University, Hamilton, Ont. (Mbuagbaw); the Biostatistics Unit, Father Sean O'Sullivan Research Centre, St Joseph's Healthcare, Hamilton, Ont. (Mbuagbaw).
Christopher J CoroneosFrom the Division of Plastic Surgery, Department of Surgery, McMaster University, Hamilton, Ont. (Olaiya, Zhu, Gallo, Coroneos); the Faculty of Medicine, Dalhousie University, Halifax, N.S. (Abraha); the Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto, Toronto, Ont. (Voineskos, McRae); the Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ont. (Coroneos, Mbuagbaw); the Trinity School of Medicine, Roswell, Ga. (Mireku); the Department of Anesthesia, McMaster University, Hamilton, Ont. (Mbuagbaw); the Biostatistics Unit, Father Sean O'Sullivan Research Centre, St Joseph's Healthcare, Hamilton, Ont. (Mbuagbaw).
Zak MirekuFrom the Division of Plastic Surgery, Department of Surgery, McMaster University, Hamilton, Ont. (Olaiya, Zhu, Gallo, Coroneos); the Faculty of Medicine, Dalhousie University, Halifax, N.S. (Abraha); the Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto, Toronto, Ont. (Voineskos, McRae); the Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ont. (Coroneos, Mbuagbaw); the Trinity School of Medicine, Roswell, Ga. (Mireku); the Department of Anesthesia, McMaster University, Hamilton, Ont. (Mbuagbaw); the Biostatistics Unit, Father Sean O'Sullivan Research Centre, St Joseph's Healthcare, Hamilton, Ont. (Mbuagbaw).
Lawrence MbuagbawFrom the Division of Plastic Surgery, Department of Surgery, McMaster University, Hamilton, Ont. (Olaiya, Zhu, Gallo, Coroneos); the Faculty of Medicine, Dalhousie University, Halifax, N.S. (Abraha); the Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto, Toronto, Ont. (Voineskos, McRae); the Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ont. (Coroneos, Mbuagbaw); the Trinity School of Medicine, Roswell, Ga. (Mireku); the Department of Anesthesia, McMaster University, Hamilton, Ont. (Mbuagbaw); the Biostatistics Unit, Father Sean O'Sullivan Research Centre, St Joseph's Healthcare, Hamilton, Ont. (Mbuagbaw).
Mark McRaeFrom the Division of Plastic Surgery, Department of Surgery, McMaster University, Hamilton, Ont. (Olaiya, Zhu, Gallo, Coroneos); the Faculty of Medicine, Dalhousie University, Halifax, N.S. (Abraha); the Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto, Toronto, Ont. (Voineskos, McRae); the Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ont. (Coroneos, Mbuagbaw); the Trinity School of Medicine, Roswell, Ga. (Mireku); the Department of Anesthesia, McMaster University, Hamilton, Ont. (Mbuagbaw); the Biostatistics Unit, Father Sean O'Sullivan Research Centre, St Joseph's Healthcare, Hamilton, Ont. (Mbuagbaw).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDemand for reconstructive surgery postmastectomy has risen, prompting evaluation of its economic impact in a publicly funded health care system. We sought to explore factors associated with increased costs of hospital admission following autologous breast reconstruction.

methodsWe conducted a retrospective cohort study involving patients who underwent autologous breast reconstruction in Ontario, Canada (2005 to 2020). Patients received either a pedicled transverse rectus abdominis myocutaneous (TRAM) flap or free tissue transfer. We analyzed costs from the hospital perspective, from admission to discharge. We used generalized linear models with a γ distribution to identify cost-associated factors.

resultsOf 2634 patients, 378 (14.4%) underwent pedicled TRAM and 2256 (85.7%) underwent free flap reconstruction. The median cost of hospital admission was $8816 (interquartile range $3383 to $90 974). Univariate analysis identified cost drivers including length of stay, reconstruction type, age, income quintile, laterality, and emergency reoperation. Multivariable analysis showed increased costs associated with free flap reconstruction (13% increase, 95% confidence interval [CI] 5% to 22%;

conclusionFree flap reconstruction, bilateral procedures, and advanced age are key drivers of hospital admission costs. These findings may inform policy and resource-allocation strategies in publicly funded systems to optimize value in breast reconstruction care.

Indexed as

Hospital CostsHospitalizationMammaplastyAgedBreast NeoplasmsCohort StudiesFemaleFree Tissue FlapsHumansLength of StayMastectomyMiddle AgedOntarioRetrospective Studies

Identifiers

PMID42270161
PMCPMC13275115

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