即刻淋巴重建与当前价值问题。
Immediate Lymphatic Reconstruction and the Current Value Problem.
机构信息
Plastic and Reconstructive Surgery Service, Department of Surgery, Memorial Sloan Kettering Cancer Center New York, NY.
出版信息
Ann Surg. 2023 Jun 1;277(6):e1197-e1199. doi: 10.1097/SLA.0000000000005814. Epub 2023 Feb 3.
Abstract
Immediate lymphatic reconstruction (ILR) may prevent lymphedema and decrease costs. Nationwide data suggest that current relative value unit (RVU) allocation undervalues ILR, thus introducing inefficiency into breast cancer operations when coupled with ILR. The RVUs assigned to ILR should be reevaluated in order to protect patient access to this procedure.
摘要
即刻淋巴重建（ILR）可能预防淋巴水肿并降低成本。全国范围的数据表明，当前的相对价值单位（RVU）分配低估了 ILR，因此当与 ILR 结合时，会给乳腺癌手术带来效率低下的问题。应该重新评估分配给 ILR 的 RVUs，以保护患者获得该程序的机会。
相似文献
1
Immediate Lymphatic Reconstruction and the Current Value Problem.即刻淋巴重建与当前价值问题。
Ann Surg. 2023 Jun 1;277(6):e1197-e1199. doi: 10.1097/SLA.0000000000005814. Epub 2023 Feb 3.
2
Immediate lymphatic reconstruction: Outcomes of a single-institution pilot study.即时淋巴重建：单机构试点研究的结果
J Plast Reconstr Aesthet Surg. 2022 Mar;75(3):1261-1282. doi: 10.1016/j.bjps.2022.01.006. Epub 2022 Jan 19.
3
Options for immediate breast reconstruction following skin-sparing mastectomy.
Breast Cancer. 2007;14(4):406-13. doi: 10.2325/jbcs.14.406.
4
[Plastic surgery of the breast; operative technique].
Dia Med. 1948 Jul 19;20(40):1484.
5
Factors affecting symmetrization of the contralateral breast: a 7-year unilateral postmastectomy breast reconstruction experience.影响对侧乳房对称的因素：7 年单侧乳腺癌根治术后乳房再造经验。
Aesthetic Plast Surg. 2011 Aug;35(4):446-51. doi: 10.1007/s00266-010-9622-7. Epub 2010 Dec 7.
6
Receipt of delayed breast reconstruction after mastectomy: do women revisit the decision?乳房切除术后延迟乳房重建的接受情况：女性会重新考虑这个决定吗？
Ann Surg Oncol. 2011 Jun;18(6):1748-56. doi: 10.1245/s10434-010-1509-y. Epub 2011 Jan 5.
7
Rotation flap approach mastectomy.旋转皮瓣入路乳房切除术。
ANZ J Surg. 2013 Mar;83(3):139-45. doi: 10.1111/ans.12008. Epub 2012 Nov 22.
8
Comparison of preoperative quality of life in breast reconstruction, breast aesthetic and non-breast plastic surgery patients: A cross-sectional study.乳房重建、乳房美容和非乳房整形手术患者术前生活质量的比较：一项横断面研究。
J Plast Reconstr Aesthet Surg. 2016 Nov;69(11):1478-1485. doi: 10.1016/j.bjps.2016.08.002. Epub 2016 Sep 7.
9
The use of fluorescein dye as a predictor of mastectomy skin flap viability following autologous tissue reconstruction.荧光素染料在自体组织重建后作为乳房切除皮瓣存活预测指标的应用。
Ann Plast Surg. 2008 Jul;61(1):24-9. doi: 10.1097/SAP.0b013e318156621d.
10
Comparison of aesthetic breast reconstruction after skin-sparing or conventional mastectomy in patients receiving preoperative radiation therapy.接受术前放疗的患者行保留皮肤或传统乳房切除术后美学乳房重建的比较。
Ann Plast Surg. 2007 Jul;59(1):78-81. doi: 10.1097/01.sap.0000252487.27077.d6.
引用本文的文献
1
Immediate Lymphatic Reconstruction (ILR) for the Prevention of Lymphedema: A Meta-analysis of Prospective Clinical Trials.即刻淋巴重建术预防淋巴水肿：前瞻性临床试验的荟萃分析
Ann Surg Oncol. 2025 Sep 17. doi: 10.1245/s10434-025-18333-2.
2
Immediate lymphatic reconstruction for breast cancer-related lymphedema: current status and challenges.乳腺癌相关淋巴水肿的即时淋巴重建：现状与挑战
Gland Surg. 2024 Mar 27;13(3):455-457. doi: 10.21037/gs-23-527. Epub 2024 Mar 20.
3
A Relative Value Unit-Based Model for Targeted Nipple-Areola Complex Neurotization in Gender-Affirming Mastectomy.一种基于相对价值单位的模型，用于性别肯定性乳房切除术中靶向乳头乳晕复合体神经化。
Plast Reconstr Surg Glob Open. 2024 Feb 8;12(2):e5605. doi: 10.1097/GOX.0000000000005605. eCollection 2024 Feb.
本文引用的文献
1
Disparities between Operative Time and Relative Value Units for Plastic Surgery Procedures.整形手术的手术时间与相对价值单位之间的差异。
Plast Reconstr Surg. 2021 Sep 1;148(3):638-644. doi: 10.1097/PRS.0000000000008276.
2
Surgical Treatment of Lymphedema: A Systematic Review and Meta-Analysis of Controlled Trials. Results of a Consensus Conference.手术治疗淋巴水肿：对照试验的系统评价和荟萃分析。共识会议的结果。
Plast Reconstr Surg. 2021 Apr 1;147(4):975-993. doi: 10.1097/PRS.0000000000007783.
3
An economic analysis of prophylactic lymphovenous anastomosis among breast cancer patients receiving mastectomy with axillary lymph node dissection.乳腺癌患者行腋窝淋巴结清扫术时预防性淋巴管静脉吻合术的经济学分析。
J Surg Oncol. 2020 Jun;121(8):1175-1178. doi: 10.1002/jso.25902. Epub 2020 Mar 23.
4
Is Immediate Lymphatic Reconstruction Cost-effective?即刻淋巴重建是否具有成本效益？
Ann Surg. 2021 Dec 1;274(6):e581-e588. doi: 10.1097/SLA.0000000000003746.
5
Lymphedema Incidence After Axillary Lymph Node Dissection: Quantifying the Impact of Radiation and the Lymphatic Microsurgical Preventive Healing Approach.腋窝淋巴结清扫术后淋巴水肿的发生率：量化放疗及淋巴显微外科预防性愈合方法的影响
Ann Plast Surg. 2019 Apr;82(4S Suppl 3):S234-S241. doi: 10.1097/SAP.0000000000001864.
6
Complicated breast cancer-related lymphedema: evaluating health care resource utilization and associated costs of management.复杂的乳腺癌相关淋巴水肿：评估医疗资源利用情况及相关管理成本
Am J Surg. 2016 Jan;211(1):133-41. doi: 10.1016/j.amjsurg.2015.06.015. Epub 2015 Aug 20.
7
Recent progress in the treatment and prevention of cancer-related lymphedema.癌症相关淋巴水肿的治疗与预防的最新进展。
CA Cancer J Clin. 2015 Jan-Feb;65(1):55-81. doi: 10.3322/caac.21253. Epub 2014 Nov 19.
8
Incidence of unilateral arm lymphoedema after breast cancer: a systematic review and meta-analysis.乳腺癌术后单侧手臂淋巴水肿的发生率：系统评价和荟萃分析。
Lancet Oncol. 2013 May;14(6):500-15. doi: 10.1016/S1470-2045(13)70076-7. Epub 2013 Mar 27.
9
Use, misuse, and underuse of work relative value units in a vascular surgery practice.血管外科实践中工作相关价值单位的使用、误用和使用不足。
J Vasc Surg. 2012 Jul;56(1):267-72. doi: 10.1016/j.jvs.2012.03.013. Epub 2012 May 10.
10
Estimating physicians' work for a resource-based relative-value scale.基于资源的相对价值尺度下医生工作的评估
N Engl J Med. 1988 Sep 29;319(13):835-41. doi: 10.1056/NEJM198809293191305.
Zotero 插件