Abstract:
BACKGROUND:Economic evaluation is important for making decisions about resource allocation. Few cost-utility or cost-effectiveness studies on breast hypertrophy have been reported in the medical literature. OBJECTIVES:The authors sought to determine the cost-utility of reduction mammaplasty in the Brazilian national health care system. METHODS:This randomized controlled study was conducted in a university-affiliated hospital. Sixty patients with breast hypertrophy were enrolled prospectively and were assigned randomly to either the control group (n = 30 patients who received follow-up for 6 months) or the treatment group (n = 30 patients who underwent reduction mammaplasty). Direct costs were recorded, and the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) was administered to both groups at the beginning of the study (preoperatively for the treatment group) and 3 and 6 months postoperatively. Utility was determined with Instrument 6D of the Brazilian version of the Short-Form Health Survey (SF-6D), from the SF-36 data. RESULTS:At the 6-month follow-up, the treatment group showed an improvement in utility, with an average direct cost of approximately £104. CONCLUSIONS:Reduction mammaplasty performed in the Brazilian national health care system provides a cost-utility ratio equivalent to approximately £142 per 1 quality-adjusted life year.
journal_name
Aesthet Surg Jjournal_title
Aesthetic surgery journalauthors
Araújo CD,Veiga DF,Hochman BS,Abla LE,Oliveira AC,Novo NF,Veiga-Filho J,Ferreira LMdoi
10.1177/1090820X14539972subject
Has Abstractpub_date
2014-11-01 00:00:00pages
1198-204issue
8eissn
1090-820Xissn
1527-330Xpii
1090820X14539972journal_volume
34pub_type
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