Low- level laser: cost of therapy fornipple trauma

Danielly Negrão Guassú Nogueira,Rosângela Aparecida Pimenta Ferrari,Alexandrina Aparecida Maciel Cardelli,Rodrigo Antônio Carvalho Andraus,Franciane Maria Da Silva Curan,Tatiane Tokushima

doi:10.1590/1806-93042021000100008

Danielly Negrão Guassú Nogueira, Rosângela Aparecida Pimenta Ferrari + Show 4 more

Open Access

https://doi.org/10.1590/1806-93042021000100008

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Abstract

Abstract Objectives: to measure the micro-cost of local laser therapy (LL) and transcutaneous laser therapy application by Irradiation Laser Intravascular of Blood (ILIB) to treat nipple trauma and compare the most effective and efficient alternative treatment. Methods: a cross-sectional analytical and quantitative study with analysis on the micro absorption cost, implemented as a clipping, from a randomized clinical trial that used two types of laser therapy to treat nipple trauma due to breastfeeding. The sample consisted of 101 nipple lesions. Patients were randomized into three groups (Control - CG, Local Laser -LLG and ILIB-ILIBG). Materials used, direct labor (DL) and laser equipment were predictors of costs. The delta calculation (effect size) was the indicator for measuring effectiveness and efficiency. Results: after three sessions, the average final cost was R$ 40.04for CG, R$ 53.55for LLG and R$ 67.29for ILIBG. After three sessions of treatment, ILIBG showed a great reduction in the lesion area, but with a higher cost (p<0.05). Conclusions: ILIBG had a better effect on healing the nipple trauma when compared to CG and LLG, even though it is more expensive, it suggests a positive cost-benefit and the most effective and efficient alternative treatment.

Highlights

Maternal breastfeeding is one of the most widespread topics due to its impact on child’s protection and nutrition, the low prevalence of breastfeeding is a major public health problem in Brazil and worldwide
For sessions 1, 2 and 3 and in the accumulated sessions, the cost was higher for the intervention with Local Laser Group (LLG) and Irradiation Laser Intravascular of Blood Group (ILIBG) (p
For the same sessions, the application in ILIBG had a higher cost when compared to the application of LLG (p

Summary

Introduction

Maternal breastfeeding is one of the most widespread topics due to its impact on child’s protection and nutrition, the low prevalence of breastfeeding is a major public health problem in Brazil and worldwide. The Low-Level Laser (LLL) has become a powerful ally for offering anti-inflammatory, healing effects, besides reducing the pain caused by lesions,[4] and other studies[5,6,7] have already shown its effectiveness in healing NT and pain during breastfeeding. LLL therapy can be performed using two distinct modalities, applying the laser directly to the lesion site, called Local Laser (LL) Therapy, or applying the transcutaneous laser, called Irradiation Laser Intravascular of Blood (ILIB). This is performed through a bracelet attached to the patient’s wrist over the radial artery to irradiate the blood systemically.[8]

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