PMID- 35850474
OWN - NLM
STAT- MEDLINE
DCOM- 20221025
LR  - 20221025
IS  - 2173-5077 (Electronic)
IS  - 2173-5077 (Linking)
VI  - 100
IP  - 11
DP  - 2022 Nov
TI  - Rate of effect of surgical margins after breast conserving surgery and estimation 
      of direct costs.
PG  - 702-708
LID - S2173-5077(22)00243-5 [pii]
LID - 10.1016/j.cireng.2021.07.016 [doi]
AB  - OBJECTIVE: Assessment of the reoperation rate in patients with positive resection 
      margins after initial breast-conserving surgery for breast cancer and estimation 
      of the cost to the hospital. METHOD: 146 patients with diagnosis of invasive 
      breast cancer were included, who were initially intervened with conservative 
      surgery by the Gynecology and Obstetrics Service of Hospital Universitario de 
      Tarragona Juan XXIII (HUTJ23) during the years 2018 and 2019. We calculated the 
      rate of involvement of the surgical margins of the resection piece after initial 
      conservative surgery, establishing in which cases it was necessary to carry out a 
      second resection, estimating the added direct costs of the second surgical 
      procedure, and comparing them with the costs established by the Catalan Health 
      Service according to the level of the hospital and the Diagnosis-Related Groups 
      (DRG) established by the National Health System. RESULTS: The rate of positive 
      margins after initial conservative surgery was 20.55% and 19.17% patients 
      underwent reoperation, generating a total expense of euro 129,696.89, euro 82,654.34 in 
      conservative surgeries (euro 3757.01 on average per patient) and euro 47,042.55 in 
      mastectomies (euro 6720.36 on average per patient). CONCLUSIONS: Margin involvement 
      after breast-conserving surgery is synonymous for reoperation, this involves a 
      series of direct costs. It is advisable to control the factors related to 
      affected margins to minimize their impact.
CI  - Copyright (c) 2021 AEC. Published by Elsevier Espana, S.L.U. All rights reserved.
FAU - De la Flor, Miriam
AU  - De la Flor M
AD  - Unidad de Patologia Mamaria, Servicio de Ginecologia y Obstetricia, H.U. 
      Tarragona Joan XXIII, URV, Tarragona, Spain. Electronic address: 
      miriamjose.delaflor@urv.cat.
FAU - Delgado, Cinthia
AU  - Delgado C
AD  - Departamento de Medicina y Cirugia, Universitat Rovira i Virgili, Tarragona, 
      Spain.
FAU - Martinez, Salome
AU  - Martinez S
AD  - Unidad de Patologia Mamaria, Servicio de Anatomia Patologica, H.U. Tarragona Joan 
      XXIII, URV, Tarragona, Spain.
FAU - Arenas, Meritxell
AU  - Arenas M
AD  - Unidad de Patologia Mamaria, Servicio de Oncologia Radioterapica, H.U. Sant Joan 
      Reus, URV, Tarragona, Spain.
FAU - Gomez, Maria
AU  - Gomez M
AD  - Unidad de Patologia Mamaria, Servicio de Oncologia Radioterapica, H.U. Sant Joan 
      Reus, URV, Tarragona, Spain.
FAU - Reig, Rosaura
AU  - Reig R
AD  - Direccion Medica, H.U. Tarragona Joan XXIII, Tarragona, Spain.
LA  - eng
PT  - Journal Article
DEP - 20220716
PL  - Spain
TA  - Cir Esp (Engl Ed)
JT  - Cirugia espanola
JID - 101771152
SB  - IM
MH  - Humans
MH  - Female
MH  - *Mastectomy, Segmental
MH  - Margins of Excision
MH  - Mastectomy
MH  - *Breast Neoplasms/surgery
MH  - Reoperation
OTO - NOTNLM
OT  - Breast cancer
OT  - Coste por reintervencion
OT  - Cancer de mama
OT  - Mastectomia
OT  - Mastectomy
OT  - Margenes positivos
OT  - Positive margins
OT  - Reexcision
OT  - Reintervencion quirurgica
OT  - Reoperation cost
EDAT- 2022/07/20 06:00
MHDA- 2022/10/26 06:00
CRDT- 2022/07/19 07:29
PHST- 2021/06/09 00:00 [received]
PHST- 2021/07/13 00:00 [accepted]
PHST- 2022/07/20 06:00 [pubmed]
PHST- 2022/10/26 06:00 [medline]
PHST- 2022/07/19 07:29 [entrez]
AID - S2173-5077(22)00243-5 [pii]
AID - 10.1016/j.cireng.2021.07.016 [doi]
PST - ppublish
SO  - Cir Esp (Engl Ed). 2022 Nov;100(11):702-708. doi: 10.1016/j.cireng.2021.07.016. 
      Epub 2022 Jul 16.