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| Autores principales: | , , , , , , , |
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| Formato: | Artículo Open Access |
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Wiley
2024
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| Acceso en línea: | https://onlinelibrary.wiley.com/doi/10.1002/jso.27770 |
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| _version_ | 1867019934988500992 |
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| author | Pearce B. Haldeman Cyril Harfouche Ricardo Rosales Conner Trimm Liane Chun Christopher Reid James H. Flint Frank Chiarappa |
| author_facet | Pearce B. Haldeman Cyril Harfouche Ricardo Rosales Conner Trimm Liane Chun Christopher Reid James H. Flint Frank Chiarappa Pearce B. Haldeman Cyril Harfouche Ricardo Rosales Conner Trimm Liane Chun Christopher Reid James H. Flint Frank Chiarappa |
| collection | Wiley Open Access |
| contents | Immediate and delayed flap reconstruction have equivalent outcomes and associated costs following soft tissue sarcoma surgery Pearce B. Haldeman Cyril Harfouche Ricardo Rosales Conner Trimm Liane Chun Christopher Reid James H. Flint Frank Chiarappa Journal of Surgical Oncology AbstractBackground and ObjectivesSurgical treatment of soft tissue sarcoma (STS) involves wide resection of the tumor, which can necessitate soft tissue reconstruction with local or free tissue flaps. This retrospective study compares cost, surgical and oncologic outcomes between patients undergoing reconstruction with immediate versus delayed flap coverage following STS resection.MethodsThirty‐four patients who underwent planned flap reconstruction following resection of primary STS were identified retrospectively. Twenty‐four (71%) received immediate reconstruction during the index surgery and 10 (29%) underwent planned delayed reconstruction. Preoperative patient‐specific metrics, tumor characteristics, and surgical and patient outcomes were collected. Total hospital charges associated with every encounter during the perioperative period were obtained.ResultsPatient demographics, comorbidities, tumor metrics, and surgical characteristics were equivalent between groups. Postoperative wound complications, reoperations, readmissions, and disease‐specific survival did not differ between cohorts. Costs associated with each reconstruction strategy were equivalent on bivariate and multivariate testing, when accounting for operating room time, hospital length of stay, and reoperation rate.ConclusionsOur study identifies no significant difference in patient outcome measures or cost between planned immediate and delayed flap reconstruction following STS resection. These results support the implementation of either treatment strategy in keeping with patient‐centered, multidisciplinary care principles. 10.1002/jso.27770 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| doi_str_mv | 10.1002/jso.27770 |
| format | Artículo Open Access |
| id | wiley_oa_10_1002_jso_27770 |
| institution | Wiley Open Access |
| license_str_mv | http://onlinelibrary.wiley.com/termsAndConditions#vor |
| publishDate | 2024 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | Immediate and delayed flap reconstruction have equivalent outcomes and associated costs following soft tissue sarcoma surgery Pearce B. Haldeman Cyril Harfouche Ricardo Rosales Conner Trimm Liane Chun Christopher Reid James H. Flint Frank Chiarappa Journal of Surgical Oncology Immediate and delayed flap reconstruction have equivalent outcomes and associated costs following soft tissue sarcoma surgery Pearce B. Haldeman Cyril Harfouche Ricardo Rosales Conner Trimm Liane Chun Christopher Reid James H. Flint Frank Chiarappa Journal of Surgical Oncology AbstractBackground and ObjectivesSurgical treatment of soft tissue sarcoma (STS) involves wide resection of the tumor, which can necessitate soft tissue reconstruction with local or free tissue flaps. This retrospective study compares cost, surgical and oncologic outcomes between patients undergoing reconstruction with immediate versus delayed flap coverage following STS resection.MethodsThirty‐four patients who underwent planned flap reconstruction following resection of primary STS were identified retrospectively. Twenty‐four (71%) received immediate reconstruction during the index surgery and 10 (29%) underwent planned delayed reconstruction. Preoperative patient‐specific metrics, tumor characteristics, and surgical and patient outcomes were collected. Total hospital charges associated with every encounter during the perioperative period were obtained.ResultsPatient demographics, comorbidities, tumor metrics, and surgical characteristics were equivalent between groups. Postoperative wound complications, reoperations, readmissions, and disease‐specific survival did not differ between cohorts. Costs associated with each reconstruction strategy were equivalent on bivariate and multivariate testing, when accounting for operating room time, hospital length of stay, and reoperation rate.ConclusionsOur study identifies no significant difference in patient outcome measures or cost between planned immediate and delayed flap reconstruction following STS resection. These results support the implementation of either treatment strategy in keeping with patient‐centered, multidisciplinary care principles. 10.1002/jso.27770 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| title | Immediate and delayed flap reconstruction have equivalent outcomes and associated costs following soft tissue sarcoma surgery |
| topic | Journal of Surgical Oncology |
| url | https://onlinelibrary.wiley.com/doi/10.1002/jso.27770 |