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Br J Oral Maxillofac Surg. 2016 Jun;54(5):579-83. doi: 10.1016/j.bjoms.2016.03.006. Epub 2016 Mar 22.

Cost-effectiveness of monitoring free flaps.

Author information

1
Department of Oral and Maxillofacial Surgery, Royal Brisbane and Women's hospital, University of Queensland, Brisbane.
2
Department of Plastic and Reconstructive Surgery, Royal Brisbane and Women's hospital, University of Queensland, Brisbane.
3
Department of Oral and Maxillofacial Surgery, Royal Brisbane and Women's hospital, University of Queensland, Brisbane. Electronic address: batstonem@hotmail.com.

Abstract

Methods of free flap monitoring have become more sophisticated and expensive. This study aims to determine the cost of free flap monitoring and examine its cost effectiveness. We examined a group of patients who had had free flaps to the head and neck over a two-year period, and combined these results with costs obtained from business managers and staff. There were 132 free flaps with a success rate of 99%. The cost of monitoring was Aus $193/flap. Clinical monitoring during this time period cost Aus$25 476 and did not lead to the salvage of any free flaps. Cost equivalence is reached between monitoring and not monitoring only at a failure rate of 15.8%. This is to our knowledge the first study to calculate the cost of clinical monitoring of free flaps, and to examine its cost-effectiveness.

KEYWORDS:

Cost effectiveness; Free flap; Monitoring; Success

PMID:
27015730
DOI:
10.1016/j.bjoms.2016.03.006
[Indexed for MEDLINE]

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