Resource utilization and patient reported outcomes using acellular dermal matrix in breast reconstructive procedures

Abstract

Background: The introduction of acellular dermal matrices revolutionized implant-based breast reconstructive procedures. Literature reports both advantages and disadvantages associated to the use of acellular dermal matrix (ADM). The increasing number of breast reconstructive procedures being performed leads to an awareness of improving the psychosocial and functional result and reduce costs associated with these procedures. One-stage implant-based breast reconstruction (BR) with ADM has potential advantages for the patient, but literature shows conflicting results regarding the cost-effectiveness of this approach compared to the two-stage expander-to-implant method. The patient’s subjective assessment of the physical and psychosocial effects of BR is extremely important. To contribute to knowledge on the subject, we present a study where the aim was to compare immediate implant-based BR using the ADM assisted one-stage approach with the two-stage expander-to-implant approach regarding resource utilization and patient reported outcomes (PROs).