Role of Breast-Conserving Surgery on the National Health System Economy From and to SARS-COVID-19 Era

Oreste Claudio Buonomo; Danilo Vinci; Gerardo De Carolis; Marco Pellicciaro; Francesco Petracca; Amir Sadri; Chiara Buonomo; Mario Dauri; Gianluca Vanni

doi:10.3389/fsurg.2021.705174

Role of Breast-Conserving Surgery on the National Health System Economy From and to SARS-COVID-19 Era

Front Surg. 2022 Jan 25:8:705174. doi: 10.3389/fsurg.2021.705174. eCollection 2021.

Authors

Oreste Claudio Buonomo¹, Danilo Vinci¹, Gerardo De Carolis², Marco Pellicciaro¹, Francesco Petracca³, Amir Sadri⁴, Chiara Buonomo⁵, Mario Dauri⁵, Gianluca Vanni¹

Affiliations

¹ Breast Unit, Department of Surgical Science, PTV Policlinico Tor Vergata University, Rome, Italy.
² Health Management, Fondazione PTV, Rome, Italy.
³ CeRGAS (Centre for Research on Health and Social Care Management), SDA Bocconi School of Management, Milan, Italy.
⁴ Plastic Surgery, Great Ormond Hospital for Children NHS Foundation Trust, London, United Kingdom.
⁵ Department of Emergency and Admission, Critical Care Medicine, Pain Medicine and Anesthetic Science, Policlinico Tor Vergata University, Rome, Italy.

Abstract

Day surgery breast-conserving surgery (DS-BCS) is a surgical approach applied in many specialized breast surgery departments. This study demonstrates the benefits of this approach from the perspectives of patients and of the Hospital/National Health System compared to ordinary breast-conserving surgery (ORD-BCS) under general anesthetic. A comparison of costs and diagnosis-related group (DRG) reimbursement demonstrated improved cost-effectiveness in DS-BCS compared to ORD-BCS.

Keywords: COVID-19; SARS-CoV-2; awake surgery; breast conserving surgery; cost saving; day-surgery; healthcare cost.