Breast Cancer Res Treat (2017) 165:301–310 DOI 10.1007/s10549-017-4315-4 PRECL I NICAL S TUDY The ﬁnancial impact and drivers of hospital charges in contralateral prophylactic mastectomy and reconstruction: a Nationwide Inpatient Sample hospital analysis 1 1 2 1 • • • • Alexandra Bucknor Anmol Chattha Klaas Ultee Winona Wu 1,3 1 1 1 • • • • Parisa Kamali Patrick Bletsis Austin Chen Bernard T. Lee 4 1 Claire Cronin Samuel J. Lin Received: 19 May 2017 / Accepted: 24 May 2017 / Published online: 20 June 2017 Springer Science+Business Media New York 2017 Abstract absence of patient, hospital and operative characteristics, Purpose Rates of contralateral prophylactic mastectomy postoperative complications, and length of stay (LOS). (CPM) have increased over the last decade; it is important Results Overall, 70,695 women underwent mastectomy and for surgeons and hospital systems to understand the eco- reconstruction for unilateralbreastcancer;36,691 (51.9%) in the nomic drivers of increased costs in these patients. This CPM group, incurring additional MMHCs of $20,775 compared study aims to identify factors affecting charges in those to those in the UM group (p\ 0.001). In the CPM group, undergoing CPM and reconstruction. MMHCs were reduced in those aged[60 years (p\ 0.001), Methods
Breast Cancer Research and Treatment – Springer Journals
Published: Jun 20, 2017
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