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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.

DOI:10.1097/SLA.0000000000005814
PMID:36735454
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10397360/
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。

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本文引用的文献

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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.
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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.
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Lancet Oncol. 2013 May;14(6):500-15. doi: 10.1016/S1470-2045(13)70076-7. Epub 2013 Mar 27.
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J Vasc Surg. 2012 Jul;56(1):267-72. doi: 10.1016/j.jvs.2012.03.013. Epub 2012 May 10.
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