Cost-effectiveness of monitoring free flaps

Subramaniam, Shiva, Sharp, David, Jardim, Christopher and Batstone, Martin D. (2016) Cost-effectiveness of monitoring free flaps. British Journal of Oral and Maxillofacial Surgery, 54 5: 579-583. doi:10.1016/j.bjoms.2016.03.006

Author Subramaniam, Shiva
Sharp, David
Jardim, Christopher
Batstone, Martin D.
Title Cost-effectiveness of monitoring free flaps
Journal name British Journal of Oral and Maxillofacial Surgery   Check publisher's open access policy
ISSN 1532-1940
Publication date 2016-06-01
Year available 2016
Sub-type Article (original research)
DOI 10.1016/j.bjoms.2016.03.006
Open Access Status Not Open Access
Volume 54
Issue 5
Start page 579
End page 583
Total pages 5
Place of publication London, United Kingdom
Publisher Churchill Livingstone
Language eng
Formatted 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.
Keyword Free flap
Cost effectiveness
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
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