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- Title
EP240 ECONOMIC ANALYSIS ON THE USE OF CLOSED INCISION NEGATIVE-PRESSURE THERAPY USING FULL-COVERAGE FOAM DRESSINGS FOLLOWING NO-DRAIN MASTECTOMY.
- Authors
Lookess, Siobhan; Pieri, Andrew
- Abstract
Aim: The aim of this economic analysis is to investigate whether ciNPT with wide-coverage foam dressings reduces the rate of seroma related post operative resource costs, following a drainless mastectomy when compared with standard of care (SOC). Method: A hypothetical cost-benefit model was applied to clinical outcomes of a previous non-randomised prospective casecontrol trial, comparing the use of closed-incision negative-pressure therapy (ciNPT)* and standard of care (SOC) over breast incisions following No-Drain Mastectomy. Results / Discussion: The previous, non-randomised case-control trial included prospectively collected data on 62 breasts in each treatment group (ciNPT = 31, SOC = 31). Twenty patients in the SOC group and 15 patients in the ciNPT group returned to the clinic for postoperative seromas. The mean number of aspirations per patient in the SOC group was 2 (range 0-10), compared with a mean of 0.8 (range 0-4) in the ciNPT group. This difference is statistically significant (p=0.023). A cost-benefit analysis showed the ciNPT group had a per-procedure cost reduction of £215.91, related to the reduced mean number of seroma aspirations in the outpatient care setting. The mean average cost of a patient undergoing a hand-led or ultrasound guided seroma aspiration was referenced as £411.80. Conclusion: The preliminary findings of the economic analysis show a potential resource saving with the use of ciNPT over breast incisions compared with standard of care following No-Drain Mastectomy. Trademarks: *3M™ Prevena Restor™ BellaForm™ Incision Management System, 3M, St. Paul, MN
- Subjects
ITALY; CONFERENCES &; conventions; NEGATIVE-pressure wound therapy; POSTOPERATIVE period; MASTECTOMY; MEDICAL drainage; SURGICAL dressings; FOAMED materials
- Publication
Journal of Wound Management, 2023, Vol 24, Issue 2, p161
- ISSN
2788-5771
- Publication type
Article