Conceptual Considerations for Payment Bundling in Breast Reconstruction.

Abstract:

:Rising health care costs and quality demands have driven both the Centers for Medicare and Medicaid Services and the private sector to seek innovations in health system design by placing institutions at financial risk. Novel care models, such as bundled reimbursement, aim to boost value though quality improvement and cost reduction. The Center for Medicare and Medicaid Innovation is leading the charge in this area with multiple pilots and mandates, including Comprehensive Care for Joint Replacement. Other high-cost and high-volume procedures could be considered for bundling in the future, including breast reconstruction. In this article, conceptual considerations surrounding bundling of breast reconstruction are discussed.

journal_name

Plast Reconstr Surg

authors

Sheckter CC,Razdan SN,Disa JJ,Mehrara BJ,Matros E

doi

10.1097/PRS.0000000000004019

subject

Has Abstract

pub_date

2018-02-01 00:00:00

pages

294-300

issue

2

eissn

0032-1052

issn

1529-4242

pii

00006534-201802000-00007

journal_volume

141

pub_type

杂志文章
  • Postoperative blood flow monitoring after free-tissue transfer by means of the hydrogen clearance technique.

    abstract::The hydrogen clearance technique was introduced for monitoring postoperative blood flow after free-tissue transfer in this prospective clinical study. This technique allows unlimited repeatable quantitative measurements of tissue blood flow in milliliters per minute per 100 gm of tissue at any site including buried fl...

    journal_title:Plastic and reconstructive surgery

    pub_type: 临床试验,杂志文章

    doi:10.1097/00006534-199702000-00027

    authors: Machens HG,Mailaender P,Reimer R,Pallua N,Lei Y,Berger A

    更新日期:1997-02-01 00:00:00

  • The surgical management of orbitofacial dermoids in the pediatric patient.

    abstract::Orbitofacial dermoids in the pediatric population represent a diverse group of lesions. Because of their variability in both clinical presentation and contiguous structure involvement, a thorough understanding of their surgical-pathologic anatomy is imperative. In this retrospective review of 84 lesions in 84 patients...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199306000-00005

    authors: Bartlett SP,Lin KY,Grossman R,Katowitz J

    更新日期:1993-06-01 00:00:00

  • Cranio-orbital correction for massive enlargement of the cranial vault.

    abstract::A case is reported in which an immense cranial vault was reduced as part of the rehabilitation of a patient with severe hydrocephalus who had preservation of the intellect. This patient was selected carefully, and we do not advocate such procedures on every hydrocephalic. This patient was recumbent and bedridden prior...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-197904000-00004

    authors: Vries JK,Habal MB

    更新日期:1979-04-01 00:00:00

  • Quality of life long-term after body contouring surgery following bariatric surgery: sustained improvement after 7 years.

    abstract:BACKGROUND:Bariatric surgery for morbid obesity results in massive weight loss and improvement of health and quality of life. A downside of the major weight loss is the excess of overstretched skin, which may influence the patient's quality of life by causing functional and aesthetic problems. The purpose of the curren...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e318267d51d

    authors: van der Beek ESJ,Geenen R,de Heer FAG,van der Molen ABM,van Ramshorst B

    更新日期:2012-11-01 00:00:00

  • A multiphase system bone implant for regenerating the calvaria.

    abstract::The regeneration of bone with a biodegradable, biocompatible carrier and osteo-regenerative proteins may be possible if the carrier has the appropriate architecture to support osteoconduction and prevent soft-tissue prolapse into ablated bone segments. Using radiomorphometry and histomorphometry, our group assessed in...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199304000-00002

    authors: Kleinschmidt JC,Marden LJ,Kent D,Quigley N,Hollinger JO

    更新日期:1993-04-01 00:00:00

  • Reconstruction of irradiated postpneumonectomy empyema cavity with chain-link coupled microsurgical omental and TRAM flaps.

    abstract::We present the first case of complete hemithoracic reconstruction of an irradiated postpneumonectomy recurrent empyema cavity that was unresponsive to multiple conventional treatments. The procedure described used a chain-link of two coupled free flaps consisting of an omental and TRAM flap. A single abdominal donor s...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200001000-00032

    authors: Rand RP,Maser B,Dry G,Vallieres E

    更新日期:2000-01-01 00:00:00

  • The effectiveness of mandibular distraction in improving airway obstruction in the pediatric population.

    abstract:BACKGROUND:Distraction osteogenesis is an effective technique for elongating the deficient mandible. The authors specifically evaluated its effectiveness in the treatment of airway obstruction in pediatric patients with mandibular hypoplasia. METHOD:A comprehensive literature review of the National Library of Medicine...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/01.prs.0000438049.29258.a8

    authors: Tahiri Y,Viezel-Mathieu A,Aldekhayel S,Lee J,Gilardino M

    更新日期:2014-03-01 00:00:00

  • Endoscopic excision and repair of simulated bilateral cleft lips in fetal lambs.

    abstract::The use of nonpenetrating clips to accomplish wound closure as an alternative to suture in the repair of simulated cleft lips in partially exteriorized fetuses has been described previously. In this study, the fetus is approached endoscopically, and clipped (n = 8) and sutured (n = 4) intrauterine endoscopic repairs i...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199807000-00001

    authors: Oberg KC,Robles AE,Ducsay C,Childers B,Rasi CR,Gates DL,Kirsch WM,Hardesty RA

    更新日期:1998-07-01 00:00:00

  • Penile Inversion Vaginoplasty with or without Additional Full-Thickness Skin Graft: To Graft or Not to Graft?

    abstract:BACKGROUND:Penile inversion vaginoplasty is considered to be the gold standard for gender reassignment surgery in transgender women. The use of additional full-thickness skin graft as neovaginal lining is controversial. Some believe that having extra penile skin for the vulva gives better aesthetic results. Others beli...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000003108

    authors: Buncamper ME,van der Sluis WB,de Vries M,Witte BI,Bouman MB,Mullender MG

    更新日期:2017-03-01 00:00:00

  • Planimetric elongation of skin by Z-plasty.

    abstract::The present paper investigates the elongation of skin that can be achieved by Z-plasties. The following observations have been made: 1. Traditional Z-plasties always result in a stereometric transfer of skin with two kinds of elongation, the stereometric and the planimetric. 2. The stereometric elongation accomplished...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198202000-00021

    authors: Roggendorf E

    更新日期:1982-02-01 00:00:00

  • Single-stage breast reconstruction with the anterior approach latissimus dorsi flap and permanent implants.

    abstract:BACKGROUND:Traditional latissimus dorsi myocutaneous flap breast reconstruction results in a large wound on the back, difficult inset of flap, and skin color disparity. An anterior approach to harvesting the latissimus dorsi muscle flap reduces morbidity, and with skin-sparing mastectomy, immediate single-stage reconst...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e31824a2bbd

    authors: Bittar SM,Sisto J,Gill K

    更新日期:2012-05-01 00:00:00

  • The bladder flap for urethral reconstruction in total phalloplasty.

    abstract::At the University of Virginia Hospital we have developed a new technique of urethroplasty utilizing a full-thickness flap of bladder wall. Tubing and transfer of the flap may be completed in two stages. The bladder flap is approximately 28 X 4 cm in size. Strictures have not occurred with this technique, but special c...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198408000-00015

    authors: Edgerton MT,Gillenwater JY,Kenney JG,Horowitz J

    更新日期:1984-08-01 00:00:00

  • Early Results Using Sterilized Acellular Human Dermis (Neoform) in Post-Mastectomy Tissue Expander Breast Reconstruction.

    abstract::Acellular dermal products play a beneficial role in immediate tissue expander breast reconstruction. They provide improved coverage and support in the lower pole, allowing the pectoralis muscle to drape over most of the expander and maximize lower pole expansion. Tissue incorporation is desired without any adverse aff...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e31819c4337

    authors: Losken A

    更新日期:2009-06-01 00:00:00

  • Free autogenous transplants in preformed pseudosheath silicone rubber pockets.

    abstract::This investigation suggests that free autogenous grafts, when placed in preformed silicone rubber pseudosheath pockets, will survive as well, if not better, than in delayed or immediate surgical pockets. This supports the clinical assumption that silicone rubber implants can be used and exchanged periodically for larg...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-197612000-00008

    authors: Thomson HG,Vanderby MB

    更新日期:1976-12-01 00:00:00

  • Diastematomyelia: a congenital anomaly not to be confused with a giant hairy nevus.

    abstract::The role of the plastic surgeon in the diagnosis and management of congenital anomalies is often a complicated one that involves the integration of input from numerous specialists into the evaluation process. Diastematomyelia is a serious neurosurgical problem that often presents with cutaneous findings in a neurologi...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Weinzweig J,Holman PD,Rekate HL

    更新日期:1995-07-01 00:00:00

  • Improved healing of microvascular PTFE prostheses by induction of a clot layer: an experimental study in rats.

    abstract::This study was undertaken to test the hypothesis that the induction of a clot layer on the graft surface of microvascular polytetrafluoroethylene (PTFE) prostheses might improve their healing. PTFE microvascular prostheses (n = 18), mechanically roughened PTFE microvascular prostheses (n = 18), and Chitosan-impregnate...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198912000-00016

    authors: van der Lei B,Wildevuur CR

    更新日期:1989-12-01 00:00:00

  • Xeroradiography for non-metallic foreign bodies.

    abstract::Xeroradiography can demonstrate many non-metallic foreign bodies that do not show by conventional radiography techniques. Two examples are shown. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Bowers DG Jr,Lynch JB

    更新日期:1977-09-01 00:00:00

  • Treatment of keloids and hypertrophic scars with bleomycin and electroporation.

    abstract:BACKGROUND:Keloids and hypertrophic scars are the result of abnormal healing responses and dermal tissue proliferation; current surgical procedures can give rise to exuberant scarring and permanent functional loss or disfigurement. Considering the promising results reported when treating keloids and hypertrophic scars ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 临床试验,杂志文章

    doi:10.1097/PRS.0b013e3182a053c8

    authors: Manca G,Pandolfi P,Gregorelli C,Cadossi M,de Terlizzi F

    更新日期:2013-10-01 00:00:00

  • A New Surgical Technique for Polysyndactyly of the Toes without Skin Graft.

    abstract::Reconstruction for polysyndactyly of the toes aims at cosmetic improvement. A previous method that uses a skin graft has inherent disadvantages of mismatched pigmentation between the graft and the surrounding skin and scar formation at the donor site. The authors' new improved surgical technique for the treatment of p...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000131882.19567.65

    authors: Hayashi A,Yanai A,Komuro Y,Nishida M

    更新日期:2004-08-01 00:00:00

  • Comparison of the rotation-advancement and philtral ridge techniques for unilateral cleft lip repair.

    abstract:BACKGROUND:The Millard rotation-advancement flap has become the most widely used technique for unilateral cleft lip repair. The philtral ridge repair is a modified straight-line technique that was developed to further optimize the scar associated with the rotation-advancement flap. The purpose of this article is to int...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000000723

    authors: Cline JM,Oyer SL,Javidnia H,Nguyen SA,Sykes JM,Kline RM,Patel KG

    更新日期:2014-12-01 00:00:00

  • The vascular basis of perforator flaps based on the source arteries of the lateral lumbar region.

    abstract:BACKGROUND:Perforator flaps based on the integument of the trunk have been well described in the literature; however, the anatomy of many donor sites has yet to be adequately documented. The integument of the lateral lumbar region of the trunk is supplied by a number of source arteries (lower posterior intercostal, lum...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000161464.11134.c1

    authors: Offman SL,Geddes CR,Tang M,Morris SF

    更新日期:2005-05-01 00:00:00

  • Palmar shelf arthroplasty, the next generation: distraction/interposition for rheumatoid arthritis of the wrist.

    abstract::Rheumatoid arthritis affects approximately 1 percent of the adult population. Bilateral symmetric involvement of the wrist occurs in 85 percent of these patients, with recurrent flares and relentless progression. Anatomic changes consist of radiocarpal, intercarpal, and radioulnar subluxation and joint destruction. Fo...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199912000-00018

    authors: Skoff H

    更新日期:1999-12-01 00:00:00

  • External fixation for pedicle-flap immobilization: a new method providing limited motion.

    abstract::The external fixater has proven to be an effective method of providing immobilization in pedicle-flap surgery. In certain instances, when the pedicle will permit some degree of mobility, limited-motion fixation eliminates the common disadvantages of rigid fixation. On this basis, we recommend the use of a ball-joint a...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198308000-00027

    authors: Nappi JF,Drabyn GA

    更新日期:1983-08-01 00:00:00

  • Porous polyethylene implants in orbital floor reconstruction.

    abstract::The purpose of this article is to present the authors' experience with the use of porous polyethylene ultrathin sheets for orbital floor reconstruction. Thirty-two patients with orbital floor fractures were treated with porous polyethylene ultrathin sheets. Sixteen cases corresponded to orbitozygomatic fractures, 11 c...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200203000-00007

    authors: Villarreal PM,Monje F,Morillo AJ,Junquera LM,González C,Barbón JJ

    更新日期:2002-03-01 00:00:00

  • Analysis of risk factors associated with 30-day readmissions following pediatric plastic surgery: a review of 5376 procedures.

    abstract:BACKGROUND:Unplanned surgical readmissions represent a benchmark outcome and pose a considerable cost burden for health care systems. The authors evaluated risk factors associated with readmission following pediatric plastic surgery using a prospective, validated, national database. METHODS:Patients younger than 18 ye...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0000000000000889

    authors: Tahiri Y,Fischer JP,Wink JD,Paine KM,Paliga JT,Bartlett SP,Taylor JA

    更新日期:2015-02-01 00:00:00

  • Combined tissue expansion: clinical attempt to decrease pain and shorten placement time.

    abstract::Tissue expansion can be characterized as a unique reconstructive procedure that takes advantage of the intrinsic ability of tissues to stretch and, in some instances, to grow in response to expansive forces. The efficacy of combined intraoperative expansion to obtain sufficient expanded tissue more rapidly was tested ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Iwahira Y,Maruyama Yu

    更新日期:1993-03-01 00:00:00

  • Reconstruction of the distal ulnar epiphysis with vascularized proximal fibula including epiphysis in children after osteochondroma resection: report of two cases.

    abstract:BACKGROUND:Osteochondromas, especially multiple hereditary osteochondromas, usually cause various deformities of the joints. The authors sometimes find ulnar shortening and acquired wrist varus deformity in distal ulnar osteochondromas and even radial head dislocation resulting in ulnar shortening. In this study, the a...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3182a3bf98

    authors: Yang YF,Zhang GM,Huo ZQ,Xu ZH,Xu DC

    更新日期:2013-11-01 00:00:00

  • Surgical technique for the correction of postpalatoplasty fistulae of the hard palate.

    abstract::Postpalatoplasty fistulas of the hard palate remain challenging. The reported recurrence rate after surgical correction ranges between 33 and 37 percent. The authors describe a surgical technique for the correction of postpalatoplasty fistulas by total elevation of the palatal gingivoperiosteum starting at the dental ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000148650.32055.01

    authors: Denny AD,Amm CA

    更新日期:2005-02-01 00:00:00

  • Relationship of obesity and specimen weight to complications in reduction mammaplasty.

    abstract::Obesity and specimen weight have both been associated with a higher incidence of complications for patients undergoing reduction mammaplasty. However, obesity has been arbitrarily and inconsistently defined, and the degree of obesity has not been considered in these previous studies. Because insurance companies are in...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200010000-00006

    authors: Zubowski R,Zins JE,Foray-Kaplon A,Yetman RJ,Lucas AR,Papay FA,Heil D,Hutton D

    更新日期:2000-10-01 00:00:00

  • Comparison of trapeziectomy and trapeziectomy with ligament reconstruction and tendon interposition: a systematic literature review.

    abstract:BACKGROUND:Trapeziectomy with ligament reconstruction and tendon interposition is currently the most popular technique for operative treatment of trapeziometacarpal osteoarthritis. Based on the evidence, however, it is uncertain whether the addition of ligament reconstruction and tendon interposition to trapeziectomy c...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0b013e318217435a

    authors: Li YK,White C,Ignacy TA,Thoma A

    更新日期:2011-07-01 00:00:00