A methodological analysis of the plastic surgery cost-utility literature using established guidelines.

Abstract:

BACKGROUND:Cost-utility studies, common in medicine, are rare within plastic surgery despite their capability of measuring the value of procedures by considering the societal costs of improving quality of life. The objectives of this study were to analyze the design quality of the plastic surgery cost-utility literature and to identify areas of needed improvement for future studies. METHODS:A scoring tool was constructed based on the Recommendations of the Panel on Cost-Effectiveness in Health and Medicine. A PubMed search through October of 2012 was conducted for English-language plastic surgery utility studies. Articles were selected using two inclusion criteria and evaluated using the scoring tool. RESULTS:A 9-point scoring tool was created, and 37 publications were selected. Their average score was 3 out of 9 points. Thirty studies (81 percent) used population preferences in utility measurements. Fifteen studies (41 percent) measured costs, but only four (11 percent) included indirect costs and only five (14 percent) applied discount rates to calculate the value of treatments over time. Three studies (8 percent) earned zero points. The highest scoring study earned 8 points. CONCLUSIONS:The identified studies manifest the potential of cost-utility analyses in plastic surgery. Nonetheless, they are inconsistent in applying established cost-utility guidelines, especially in measuring costs and conducting recommended sensitivity analysis. Following this simple scoring tool can help future studies achieve some necessary improvements.

journal_name

Plast Reconstr Surg

authors

Tessler O,Mattos D,Vorstenbosch J,Jones D,Winograd JM,Liao EC,Austen WG Jr

doi

10.1097/PRS.0000000000000004

subject

Has Abstract

pub_date

2014-04-01 00:00:00

pages

584e-592e

issue

4

eissn

0032-1052

issn

1529-4242

pii

00006534-201404000-00034

journal_volume

133

pub_type

杂志文章
  • Immediate insertion of silicone rubber rods in fingers with cut flexor tendons.

    abstract::In 7 patients with cut flexor tendons of the hand, we did an immediate quantitative bacterial analysis of the wounds. These showed fewer than 10(5) bacteria per gram of tissue, so we inserted silicone rubber rods in 10 of these fingers. All healed without infection, and this shortened the reconstruction. In retrospect...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-197801000-00013

    authors: Marshall KA,Wolfort FG,Edlich RF

    更新日期:1978-01-01 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

  • Gender Disparities in Preoperative Resource Use for Wrist Arthroscopy.

    abstract:BACKGROUND:Although national efforts to minimize gender biases exist, gender differences in surgery persist. This study aims to investigate gender differences in preoperative resource use of patients undergoing wrist arthroscopy for nontraumatic wrist pain. METHODS:Patients who underwent a wrist arthroscopy for nontra...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000004840

    authors: Billig JI,Sterbenz JM,Zhong L,Chung KC

    更新日期:2018-11-01 00:00:00

  • The role of betadine irrigation in breast augmentation.

    abstract:BACKGROUND:In the spring of 2000, the U.S. Food and Drug Administration issued a ban on the use of Betadine (povidone-iodine; Purdue Frederick, Stamford, Conn.) in association with saline breast implants, because data seemed to indicate a higher rate of implant deflation in association with Betadine. Betadine has been ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000251088.51675.a8

    authors: Wiener TC

    更新日期:2007-01-01 00:00:00

  • Simple maxillary reconstruction using free tissue transfer and prostheses.

    abstract::Prosthetic rehabilitation is essential for maintaining postoperative oral function after maxillary reconstruction. However, the maxillary prosthesis becomes unstable in some patients because of extensive palatomaxillary resection and drooping of the transferred flap. In such patients, maintaining sufficient oral funct...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.PRS.0000041941.98504.B6

    authors: Sakuraba M,Kimata Y,Ota Y,Uchiyama K,Kishimoto S,Harii K,Ebihara S

    更新日期:2003-02-01 00:00:00

  • Suture algorithm for the broad or bulbous nasal tip.

    abstract::The history and current status of suture techniques to correct a broad or bulbous nasal tip are reviewed. General principles for suture techniques to control tip shape are discussed; they include leaving an approximately 6-mm-wide lateral crus. The algorithm presented includes four sutures, all of which are not necess...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.PRS.0000033873.20163.61

    authors: Gruber RP,Friedman GD

    更新日期:2002-12-01 00:00:00

  • Keloids have continuous high metabolic activity.

    abstract::The adenosine triphosphate (ATP) content of keloids and scars resected from patients was demonstrated by high-performance liquid chromatography. The surface color of hypertrophic scars was red or pink and that of atrophic scars was white. The ATP content of red scars was (in mmol/g protein) 1.06 +/- 0.14, of pink scar...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199909030-00012

    authors: Ueda K,Furuya E,Yasuda Y,Oba S,Tajima S

    更新日期:1999-09-01 00:00:00

  • Use of the latissimus dorsi muscle to restore elbow flexion in arthrogryposis.

    abstract::The successful use of ipsilateral pedicle latissimus dorsi muscle to restore elbow flexion in a child with arthrogryposis multiplex congenita is described. In appropriately selected patients, use of the latissimus dorsi muscle for elbow flexor reconstruction is a strong, reliable flexorplasty without significant donor...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200012000-00022

    authors: Gagnon E,Fogelson N,Seyfer AE

    更新日期:2000-12-01 00:00:00

  • Three-dimensional facial anthropometry using a laser surface scanner: validation of the technique.

    abstract::Three-dimensional measurement and characterization of facial surface anatomy are fundamental to the objective analysis of facial deformity. However, existing clinical tools are inadequate. Recent innovations in laser scanning technology provide a potentially useful technique for accurate three-dimensional documentatio...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199608000-00004

    authors: Bush K,Antonyshyn O

    更新日期:1996-08-01 00:00:00

  • Current trends in the management of proximal interphalangeal joint injuries of the hand.

    abstract::Injuries to the proximal interphalangeal joint are commonly encountered by the hand surgeon. Proper diagnosis and treatment are vital for optimal outcomes. Proper treatment of these injuries requires a working knowledge of the anatomy of the joint and an appreciation for principles for reduction, stabilization, and ea...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3182a48d65

    authors: Khouri JS,Bloom JMP,Hammert WC

    更新日期:2013-11-01 00:00:00

  • Histologic investigation of vascular malformations of the face after transarterial embolization with ethibloc and other agents.

    abstract::Twenty-one vascular malformations located in the facial area, 11 high-flow arteriovenous malformations and 10 slow-flow malformations, underwent combined treatment by embolization and later surgery. Embolization was performed simultaneously with superselective angiography of the branches of the external carotid artery...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Niechajev I,Clodius L

    更新日期:1990-10-01 00:00:00

  • Tolerance induction in composite facial allograft transplantation in the rat model.

    abstract::Clinical application of composite tissue allograft transplants opened discussion on the restoration of facial deformities by allotransplantation. The authors introduce a hemifacial allograft transplant model to investigate the rationale for the development of functional tolerance across the major histocompatibility co...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000142414.92308.ab

    authors: Demir Y,Ozmen S,Klimczak A,Mukherjee AL,Siemionow M

    更新日期:2004-12-01 00:00:00

  • Three-dimensional analysis and classification of arteries in the skin and subcutaneous adipofascial tissue by computer graphics imaging.

    abstract::To develop new types of surgical flaps that utilize portions of the skin and subcutaneous tissue (e.g., a thin flap or an adipofascial flap), three-dimensional investigation of the vasculature in the skin and subcutaneous tissue has been anticipated. In the present study, total-body arterial injection and three-dimens...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199809030-00020

    authors: Nakajima H,Minabe T,Imanishi N

    更新日期:1998-09-01 00:00:00

  • Methods and results of rhinophyma treatment.

    abstract::Rhinophyma is a disfiguring soft-tissue hypertrophy of the nose. It is an uncommon disease that primarily affects Caucasian men in the fifth to seventh decades of life. Nine cases from the authors' series and a comparison of results following various treatment modalities are presented. Eight of the patients were Cauca...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200104150-00004

    authors: Redett RJ,Manson PN,Goldberg N,Girotto J,Spence RJ

    更新日期:2001-04-15 00:00:00

  • Toxic shock syndrome after chemical face peel.

    abstract::Two cases of toxic shock syndrome following chemical face peel are reported. Toxic shock syndrome is a severe toxin-mediated multisystem disease. The major signs are fever, rash, desquamation, and hypotension. It can occur in males as well as females and is not necessarily related to menstruation. The surgical wound d...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198707000-00020

    authors: LoVerme WE,Drapkin MS,Courtiss EH,Wilson RM

    更新日期:1987-07-01 00:00:00

  • Plagiocephaly: differential diagnosis based on endocranial morphology.

    abstract::Plagiocephaly is a descriptive term that connotes an asymmetrically oblique or twisted head. Such cranial dysmorphology has a number of etiologies, the most common of which are unicoronal synostosis, unilambdoid synostosis, and plagiocephaly without synostosis. Use of the term plagiocephaly in the literature is often ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199602000-00003

    authors: Lo LJ,Marsh JL,Pilgram TK,Vannier MW

    更新日期:1996-02-01 00:00:00

  • A placebo-controlled surgical trial of the treatment of migraine headaches.

    abstract:BACKGROUND:Many of the nearly 30 million Americans suffering with migraine headaches are not helped by standard therapies, a proportion of which can harbor undesirable side effects. The present study demonstrates the efficacy of independent surgical deactivation of three common migraine headache trigger sites through a...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/PRS.0b013e3181adcf6a

    authors: Guyuron B,Reed D,Kriegler JS,Davis J,Pashmini N,Amini S

    更新日期:2009-08-01 00:00:00

  • Advanced technologies in plastic surgery: how new innovations can improve our training and practice.

    abstract::Over the last two decades, virtual reality, haptics, simulators, robotics, and other "advanced technologies" have emerged as important innovations in medical learning and practice. Reports on simulator applications in medicine now appear regularly in the medical, computer science, engineering, and popular literature. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/01.prs.0000138242.60324.1d

    authors: Grunwald T,Krummel T,Sherman R

    更新日期:2004-11-01 00:00:00

  • Biology and Biomarkers for Wound Healing.

    abstract:BACKGROUND:As the population grows older, the incidence and prevalence of conditions that lead to a predisposition for poor wound healing also increase. Ultimately, this increase in nonhealing wounds has led to significant morbidity and mortality with subsequent huge economic ramifications. Therefore, understanding spe...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0000000000002682

    authors: Lindley LE,Stojadinovic O,Pastar I,Tomic-Canic M

    更新日期:2016-09-01 00:00:00

  • Easy orientation of the cut ends for nerve suture.

    abstract::A technique for orienting cut nerve ends for suturing is presented. A mirror is used to reflect one end, making its image identical to that of the other end--so that proper orientation is greatly facilitated. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-197901000-00033

    authors: Vickers DW

    更新日期:1979-01-01 00:00:00

  • Impact of hypertonic and hyperoncotic saline solutions on ischemia-reperfusion injury in free flaps.

    abstract:BACKGROUND:The purpose of this study was to evaluate the influence of hypertonic and hyperoncotic saline solutions on ischemia-reperfusion injury after free tissue transfer. METHODS:Twenty-eight Sprague-Dawley rats were used to design an inferior epigastric flap. After skin incision, microcirculation was investigated ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e31817743a1

    authors: Scholz T,Evans GRD

    更新日期:2008-07-01 00:00:00

  • Infantile fibrosarcoma of the hand associated with coagulopathy.

    abstract:BACKGROUND:Large congenital neoplasms of the extremities may be associated with coagulopathies and significant hemorrhage in the neonatal period. At times, the differences between coagulation derangements can be very subtle, leading to errors in diagnosis. Infants with vascular lesions and coagulopathies are often foun...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000206314.29607.2b

    authors: Muzaffar AR,Friedrich JB,Lu KK,Hanel DP

    更新日期:2006-04-15 00:00:00

  • Post-circumcision epidermoid inclusion cysts of the clitoris.

    abstract::We describe our experiences during the last 5 years with 19 cases of epidermoid inclusion cysts of the clitoris resulting from circumcision. There were 14 children and 5 adults. The management consisted of complete excision of the cyst, and reconstruction of the clitoris, wherever possible. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-197904000-00007

    authors: Ofodile FA,Oluwasanmi JO

    更新日期:1979-04-01 00:00:00

  • Unexpected vascular response to epinephrine in port wine stains.

    abstract::Success of argon laser therapy as a therapeutic modality for port wine stains has been correlated with the degree of vascular congestion within the lesions. Epinephrine causes vasoconstriction and erythrocyte stasis within normally innervated vessels. We tested the hypothesis that subcutaneous injection of epinephrine...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198712000-00004

    authors: Smoller BR,Kwan TH,Noe JM

    更新日期:1987-12-01 00:00:00

  • Comparison of the contact neodymium:YAG and carbon dioxide lasers for skin deepithelialization.

    abstract::The application of laserbrasion by the carbon dioxide (CO2) laser for skin deepithelialization previously has been proven efficacious in numerous clinical experiences. This study in adult Sprague-Dawley rats was designed to compare those known effects of the CO2 laser with the contact neodymium:yttrium-aluminum-garnet...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Hallock GG,Rice DC

    更新日期:1993-05-01 00:00:00

  • Sagittal craniosynostosis outcome assessment for two methods and timings of intervention.

    abstract::A retrospective quantitative analysis of 40 infants who underwent surgery for sagittal craniosynostosis was conducted to determine whether any difference in outcome, with respect to cranial index (cranial width/cranial length x 100), could be associated with either the age at surgery or the extent of the operation. Ch...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199905060-00004

    authors: Panchal J,Marsh JL,Park TS,Kaufman B,Pilgram T,Huang SH

    更新日期:1999-05-01 00:00:00

  • Functional mandibular reconstruction: prevention of the oral invalid.

    abstract::Composite mandibulectomy for carcinoma can create an "oral invalid," with difficulty in mastication. Functional reconstruction has fallen short of ideal. Three patients were seen with significant anatomic deficits and functional debilitations resulting from large composite mandibulectomies for oral carcinoma. Each pat...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Lukash FN,Sachs SA

    更新日期:1989-08-01 00:00:00

  • On the origins of components separation.

    abstract:SUMMARY:The method of abdominal hernia repair known as components separation, described by Ramirez et al. in 1990, has enjoyed widespread popularity because of the sound anatomical principles it uses and most importantly the clinical success of the procedure. Although the authors who described this technique made no pr...

    journal_title:Plastic and reconstructive surgery

    pub_type: 传,历史文章,杂志文章

    doi:10.1097/PRS.0b013e3181b98ab8

    authors: Halvorson EG

    更新日期:2009-11-01 00:00:00

  • "Axial split osteotomy" of free fibular flaps for mandible reconstruction: preliminary results.

    abstract::Vascularized free flaps are now considered the most appropriate choice for mandible reconstruction because they offer excellent cosmetic and functional results. Various techniques have been proposed. Free fibular flaps have numerous advantages in terms of versatility and contouring. Shaping can be achieved by wedge os...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200108000-00007

    authors: Guyot L,Richard O,Cheynet F,Sauvant J,Chossegros C,Layoun W,Blanc JL,Gola R

    更新日期:2001-08-01 00:00:00

  • Experimental and clinical study on the vitality of orthotopic cartilage transplants.

    abstract::Orthotopic cartilage transplants are performed in the course of numerous rhinosurgical operations. Precondition of a permanent success of the operation is preservation of vitality of the transplanted cartilage. Although numerous study results of heterotopic cartilage transplants exist, corresponding examinations in or...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199504000-00007

    authors: Gubisch W,Greulich M,Donath K

    更新日期:1995-04-01 00:00:00