Original Article
Cost-effectiveness analysis of minimally invasive rotational surgery and open surgery for benign breast tumor
Gao Yinguang, Wang Zihan, Yu Haiyue
Published 2023-05-05
Cite as Chin J Postgrad Med, 2023, 46(5): 435-438. DOI: 10.3760/cma.j.cn115455-20220607-00533
Abstract
ObjectiveTo compare the cost-effectiveness between open surgery and minimally invasive rotational surgery in patients with benign breast tumor, and to provide a theoretical support for the choice of surgical approach.
MethodsThe clinical data of 1 389 benign breast tumor patients underwent surgery from January 2017 to January 2020 in Beijing Friendship Hospital, Capital Medical University were retrospectively analyzed. Among them, 374 patients were treated with open surgery (open group), and 1 015 patients were treated with minimally invasive rotational surgery (minimally invasive group). The surgery-related and cost-effectiveness analysis indexes were compared between two groups.
ResultsThe operation time, incidence of hematoma/subcutaneous bruising and cosmetic result satisfactory rate in minimally invasive group were significantly higher than those in open group: (37.37 ± 6.66) min vs. (34.58 ± 8.95) min, 10.54% (107/1 015) vs. 5.35% (20/374) and 98.72% (1 002/1 015) vs. 95.99% (359/374); while the incision length, length of hospital stay and pain score were significantly less than those in open group: (5.00 ± 0.00) mm vs. (26.55 ± 4.73) mm, (1.03 ± 0.36) d vs. (2.85 ± 1.99) d, (1.76 ± 1.56) scores vs. (2.72 ± 1.27) scores, and there were statistical differences (P<0.01). The patients were followed up until May 2022. There were no incision infection, recurrence and residual lesions in the two groups. The total cost and cost-effectiveness ratio in minimally invasive group were significantly lower than those in open group: (6 553 ± 1 150) yuan vs. (7 965 ± 3 323) yuan and 71.10 ± 13.61 vs. 88.96 ± 37.48, the benefit score was significantly higher than that in open group: (96.50 ± 3.89) scores vs. (88.92 ± 6.39) scores, and there were statistical differences (P<0.01).
ConclusionsCompared with open surgery, minimally invasive rotational surgery is less costly and more benefits, so minimally invasive surgery should be the preferred surgical procedure for benign breast tumor.
Key words:
Breast neoplasms; Cost-benefit analysis; Minimally invasive rotational surgery; Open surgery
Contributor Information
Gao Yinguang
Department of General Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
Wang Zihan
Department of General Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
Yu Haiyue
Department of Breast Surgery, Beijing Huairou Maternal and Child Health Care Hospital, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 101400, China
