PubTransformer

A site to transform Pubmed publications into these bibliographic reference formats: ADS, BibTeX, EndNote, ISI used by the Web of Knowledge, RIS, MEDLINE, Microsoft's Word 2007 XML.




PMID- 28494483
OWN - NLM
STAT- MEDLINE
DA  - 20170511
DCOM- 20170518
LR  - 20170518
IS  - 1175-8716 (Electronic)
IS  - 0028-8446 (Linking)
VI  - 130
IP  - 1455
DP  - 2017 May 12
TI  - The cost of major head and neck cancer surgery.
PG  - 111-119
AB  - AIM: This study quantified the cost of major head and neck cancer (HNC) surgery. 
      METHODS: Consecutive patients undergoing major HNC surgery between July 2007 and 
      June 2012 were identified from our head and neck database. Patient demographics, 
      tumour type, site, stage and types of resection and reconstruction, length of
      stay and surgical complications occurring within six months of initial surgery
      were retrospectively analysed. The actual cost of initial surgical treatment and 
      hospital income were calculated. RESULTS: Two hundred and forty-five patients
      underwent major HNC surgery, most commonly for mucosal squamous cell carcinoma
      (SCC) and metastatic and/or locally advanced cutaneous SCC. Neck dissection and
      parotidectomy were the commonest resection procedures and free flaps the
      commonest reconstructive procedures performed. Forty-two patients developed
      surgical complications within six months of the initial major HNC surgery. Over
      the five-year period, surgery cost a total of NZ$5,130,639.00, averaging
      NZ$20,941.38 per patient, not including costs such as incidentals, while the
      hospital received NZ$4,976,559.61 averaging NZ$20,229.91/patient. On average,
      oral cavity cancer, metastatic and/or locally advanced skin cancer, and skull
      base cancer cost NZ$22,694.72/patient, NZ$17,373.64/patient and
      NZ$47,295.95/patient, respectively. CONCLUSION: Calculated hospital income
      marginally covered the actual cost of major HNC surgery, which places substantial
      financial burden on the hospital. The anatomic site of the tumour determines the 
      cost of treatment.
FAU - Jayakar, Rahul
AU  - Jayakar R
AD  - Wellington Regional Plastic, Maxillofacial and Burns Unit, Hutt Hospital.
FAU - Choi, Jenny
AU  - Choi J
AD  - Gillies McIndoe Research Institute, Wellington.
FAU - MacKinnon, Craig
AU  - MacKinnon C
AD  - Wellington Regional Plastic, Maxillofacial and Burns Unit, Hutt Hospital.
FAU - Tan, Swee
AU  - Tan S
AD  - Wellington Regional Plastic, Maxillofacial and Burns Unit, Hutt Hospital; and
      Gillies McIndoe Research Institute, Wellington.
LA  - eng
PT  - Journal Article
DEP - 20170512
PL  - New Zealand
TA  - N Z Med J
JT  - The New Zealand medical journal
JID - 0401067
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Child
MH  - Databases, Factual
MH  - Economics, Hospital
MH  - Female
MH  - Head and Neck Neoplasms/*economics/*surgery
MH  - *Health Care Costs
MH  - Hospitals
MH  - Humans
MH  - Length of Stay
MH  - Male
MH  - Middle Aged
MH  - Neoplasm Recurrence, Local
MH  - New Zealand
MH  - Operative Time
MH  - Postoperative Complications/epidemiology
MH  - Reconstructive Surgical Procedures
MH  - Retrospective Studies
MH  - Young Adult
COI - Nil.
EDAT- 2017/05/12 06:00
MHDA- 2017/05/19 06:00
CRDT- 2017/05/12 06:00
PST - epublish
SO  - N Z Med J. 2017 May 12;130(1455):111-119.

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