Degree
Master of Science
Program
Surgery
Supervisor
Doherty, Christopher
2nd Supervisor
Sarma, Sisira
Co-Supervisor
Abstract
Breast reconstruction following mastectomy is increasing and implant-based breast reconstruction is the most common surgical approach. Saline and silicone implants have different cost and complication profiles and it is unclear which is the more cost-effective option. A systematic review of the literature was undertaken to summarize the quality of life data in breast reconstruction, specifically, previously published health state utility values relevant to breast reconstruction. In addition, a cost-utility analysis was undertaken from the perspective of the third-party payer, accounting for the most common complications associated with saline and silicone implants. This demonstrated that despite the increased initial cost of silicone implants, they are cost-effective with a willingness-to-pay threshold of $50,000 (ICUR $52.26/QALY). Overall, silicone implants provide improved quality of life with a marginal cost increase.
Recommended Citation
Nelligan, Kathleen, "Choice of implant filler in breast reconstruction: A study of the cost-effectiveness of saline and silicone implants" (2018). Electronic Thesis and Dissertation Repository. 5954.
https://ir.lib.uwo.ca/etd/5954