Document Detail


Advantages of outpatient breast surgery.
MedLine Citation:
PMID:  7992976     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This article outlines surgical, financial, and psychosocial advantages of outpatient, definitive breast cancer surgery. The analysis of 118 patients who underwent outpatient breast cancer surgery between January 1991 and December 1993--20 modified radical mastectomy, 90 lumpectomy and axillary dissection or axillary dissection alone, and 8 partial or simple mastectomy--revealed only three patients with minor complications requiring admission. Same-day discharge was safely accomplished by early morning admission and using recovery room time for postoperative education. Outpatient cost was $1572 compared with an average 3-day inpatient cost of $6282, for a potential savings of $4710, or 75%, per patient for modified radical mastectomy. Outpatient cost was $1080 compared with an average 2-day inpatient cost of $4907, for a potential savings of $3827, or 78%, per patient for lumpectomy with axillary node dissection. Patients have indicated a high level of satisfaction with ambulatory surgery and experienced faster healing and recovery at home within the family milieu.
Authors:
S A McManus; D A Topp; C Hopkins
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The American surgeon     Volume:  60     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  1994 Dec 
Date Detail:
Created Date:  1995-01-12     Completed Date:  1995-01-12     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  967-70     Citation Subset:  IM    
Affiliation:
St. Peter's Medical Center, New Brunswick, New Jersey.
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MeSH Terms
Descriptor/Qualifier:
Ambulatory Care* / economics
Axilla / surgery
Breast Neoplasms / economics,  psychology,  surgery*
Female
Hospitalization / economics
Humans
Lymph Node Excision / economics
Mastectomy / economics
Mastectomy, Segmental / economics
Social Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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