Cost-effectiveness of Reduction Mammaplasty
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Purpose
Several works show breast hypertrophy as pain cause, postural alterations, dermatitis and decrease of the functional capacity and of the self-esteem. The economical evaluations are destined to esteem the costs in alternative ways of attendance to the health, comparing, for instance, clinical strategies with surgical strategies.
OBJECTIVE: To analyze cost-effectiveness in reduction mammaplasty.
| Condition | Intervention |
|---|---|
|
Hypertrophy of Breast Cost-effectiveness |
Procedure: reduction mammaplasty |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Health Services Research |
| Official Title: | Cost-effectiveness of Reduction Mammaplasty |
- The total cost for procedure will be calculated with accuracy through the Brazilian software "TASY". To evaluate the effectiveness will be used the SHORT FORM 36, Visual Analogue Scale, Stanford Health Assessment Questionnaire 20 and SHORT FORM-6D [ Time Frame: before the surgery (baseline) ] [ Designated as safety issue: No ]
- The total cost for procedure will be calculated with accuracy through the Brazilian software "TASY". To evaluate the effectiveness will be used the SHORT FORM 36, Visual Analogue Scale, Stanford Health Assessment Questionnaire 20 and SHORT FORM-6D [ Time Frame: 3 months after surgery ] [ Designated as safety issue: No ]
- The total cost for procedure will be calculated with accuracy through the Brazilian software "TASY". To evaluate the effectiveness will be used the SHORT FORM 36, Visual Analogue Scale, Stanford Health Assessment Questionnaire 20 and SHORT FORM-6D [ Time Frame: 6 months after the surgery ] [ Designated as safety issue: No ]
| Enrollment: | 50 |
| Study Start Date: | July 2008 |
| Study Completion Date: | June 2010 |
| Primary Completion Date: | December 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: reduction mammaplasty
submitted to surgery
|
Procedure: reduction mammaplasty
patients submitted to reduction mammaplasty
|
|
No Intervention: not reduction mammaplasty
not submitted to surgery
|
Procedure: reduction mammaplasty
patients submitted to reduction mammaplasty
|
Detailed Description:
- Design: This is a primary, prospective, analytical, controlled study in humans.
- Settings: Data will be collected at the Plastic Surgery and Orthopedic and Traumatology Outpatient Clinics of the Samuel Libânio General Hospital (Hospital das Clínicas Samuel Libânio, HCSL), Pouso Alegre, MG, Brazil, in july/2008-december 2009.
Participants: Fifty women with breast hypertrophy (25 study group and 25 control group) according to the Sacchini index,12 aged 18 to 59 years, were consecutively selected to participate in this study.
Pregnant women, and patients who gave birth or were breastfeeding less than one year before the beginning of the study, as well as patients with uncontrolled systemic diseases, acute diseases, breast asymmetry, who had undergone breast or spine surgery, and who had body-mass index (BMI) lower than 18.5 kg/m2 (low body weight) or greater than 30 kg/m2 (obese women) were excluded from the study.
- Instruments: Pain intensity in the cervical, dorsal and lumbar regions of the back has been assessed using a visual analogue scale (VAS). also will be used SF36, HAQ 20 and SF-6D.
Eligibility| Ages Eligible for Study: | 18 Years to 59 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Women with breast hypertrophy according to the Sacchini index
Exclusion Criteria:
- Pregnant women
- Patients who gave birth or were breastfeeding less than one year before the beginning of the study
- Patients with uncontrolled systemic diseases, acute diseases, or breast asymmetry
- Patients who had undergone breast or spine surgery
- Patients who had body-mass index (BMI) lower than 18.5 kg/m2 (low body weight) or greater than 30 kg/m2 (obese women)
Contacts and Locations| Brazil | |
| Carlos Dm Araujo | |
| Pouso Alegre, MG, Brazil, 37550000 | |
| Principal Investigator: | CARLOS DM ARAUJO, MD, PhD | Federal University of São Paulo |
| Study Director: | DANIELA F VEIGA, MD, PhD | Federal University of São Paulo |
| Study Director: | BERNARDO S HOCHMAN, MD, PhD | Federal University of São Paulo |
| Study Director: | LUIZ EF ABLA, MD, PhD | Federal University of São Paulo |
| Study Chair: | LYDIA M FERREIRA, MD, PhD | Federal University of São Paulo |
More Information
Publications:
| Responsible Party: | CARLOS DELANO MUNDIM ARAUJO/ COST EFFECTIVENESS OF REDUCTION MAMAPLASTY, FEDERAL UNIVERSITY OF SÃO PAULO |
| ClinicalTrials.gov Identifier: | NCT00992368 History of Changes |
| Other Study ID Numbers: | 1788.08 |
| Study First Received: | October 7, 2009 |
| Last Updated: | March 14, 2011 |
| Health Authority: | Brazil: National Committee of Ethics in Research |
Keywords provided by Federal University of São Paulo:
|
Quality-Adjusted Life Years:A measurement index Cost-Benefit Analysis:A method of comparing costs Mammaplasty QALY |
Health-related quality of life Cost-effectiveness Breast |
Additional relevant MeSH terms:
|
Hypertrophy Pathological Conditions, Anatomical |
ClinicalTrials.gov processed this record on May 21, 2013