Oncoplastic approach in the conservative treatment of breast cancer: analysis of costs

• Autor(a) principal: Lima,Débora Eleotério de
• Data de Publicação: 2012
• Outros Autores: Veiga Filho,Joel, Ribeiro,Leda Marques, Morais,Thiago Bezerra de, Rocha,Luiz Roberto Martins, Juliano,Yara, Veiga,Daniela Francescato, Ferreira,Lydia Masako
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Acta Cirúrgica Brasileira (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502012000500006
• topic: Breast Neoplasms; Mastectomy, Segmental; Surgery, Plastic; Surgical Flaps; Health Care Costs

PURPOSE: To analyze the direct costs of conservative surgical treatment of breast cancer, performed in a university hospital, to the Brazilian National Health Care Public System (SUS), checking the impact of the oncoplastic approach on these costs. METHODS: One hundred thirty eight breast cancer patients who had undergone conservative treatment with oncoplastic approach (n=36) or not (control group, n=102), in the period from 2005 to 2010, were enrolled. Sociodemographic and clinical data were recorded. The direct costs of the surgical procedure were obtained and analyzed. RESULTS: Groups did not differ in regard to age (p=0.963), and patients in oncoplastic group had a longer time of hospital stay (p=0.000). The median direct cost for the oncoplastic group was R$461.00 and for the control group was R$229.00 (p=0.000). CONCLUSION: The oncoplastic approach has generated higher direct costs in conservative surgical treatment of breast cancer to SUS.