How much does breast reconstruction cost after mastectomy

Comparative Study

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Cost analysis of postmastectomy reconstruction: A comparison of two staged implant reconstruction using tissue expander and acellular dermal matrix with abdominal-based perforator free flaps
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. 2017 Sep;116(4):439-447.

doi: 10.1002/jso.24692. Epub 2017 Jun 7.

Affiliations

PMID: 28591940
DOI: 10.1002/jso.24692

Comparative Study

Cost analysis of postmastectomy reconstruction: A comparison of two staged implant reconstruction using tissue expander and acellular dermal matrix with abdominal-based perforator free flaps

Bao Ngoc N Tran et al. J Surg Oncol. 2017 Sep.

Abstract

Background and objectives: Two staged tissue expander-implant with acellular dermal matrix (TE/I + ADM) and deep inferior epigastric perforator (DIEP) flap are the most common implant and autologous methods of reconstruction in the U.S. Implant-based techniques are disproportionally more popular, partially due to its presumed cost effectiveness. We performed a comprehensive cost analysis to compare TE/I + ADM and DIEP flap.

Methods: A comparative cost analysis of TE/I + ADM and DIEP flap was performed. Medicare reimbursement costs for each procedure and their associated complications were calculated. Pooled probabilities of complications including cellulitis, seroma, skin necrosis, implant removal, flap loss, partial flap loss, and fat necrosis, were calculated using published studies from 2010 to 2016.

Results: Average actual cost for successful TE/I + ADM and DIEP flap were $13 304.55 and $10 237.13, respectively. Incorporating pooled complication data from published literature resulted in an increase in cost to $13 963.46 for TE/I + ADM and $12 624.29 for DIEP flap. The expected costs for successful TE/I + ADM and DIEP flap were $9700.35 and $8644.23, which are lower than the actual costs.

Conclusions: DIEP flap breast reconstruction incurs lower costs compared to TE/I + ADM. These costs are lower at baseline and when additional costs from pooled complications are incorporated.

Keywords: acellular dermal matrix; cost analysis; deep inferior epigastric perforator flap; implant-based reconstruction.

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How much does it cost for a double mastectomy and reconstruction?

How Much Does a Double Mastectomy Cost? On MDsave, the cost of a Double Mastectomy ranges from $4,094 to $24,161. Those on high deductible health plans or without insurance can save when they buy their procedure upfront through MDsave.

How common is breast reconstruction after mastectomy?

Breast reconstruction can be initiated either at the time of mastectomy (immediate reconstruction) or at a later date (delayed reconstruction). Immediate reconstruction is the most common practice in the U.S., selected for approximately 75 percent of patients.

What is best breast reconstruction after mastectomy?

Implants. Inserting a breast implant is the least invasive breast reconstruction procedure. It may not require extra time in the hospital if it can be done at the same time as the mastectomy.

Is breast reconstruction a major surgery?

Breast reconstruction is major surgery that can require several days in the hospital, followed by weeks of recovery at home. The length of recovery depends on the type of reconstruction performed. After surgery, patients may have: Limited activity for up to two months.