Abstract
Purpose of reviewValue has become an increasingly important topic in healthcare delivery as our systems attempt to deliver increased value to patients at lower costs. This review highlights research performed regarding value for head and neck cancer reconstruction in three evolving areas: care pathway development, virtual surgical planning (VSP), and free flap versus locoregional flap reconstruction.Recent findingsImprovements in quality-driven patient care in head and neck free tissue transfer are possible in a number of areas. Care pathways and appropriate management of patients prone to comorbidities decrease hospital length of stay and readmission rates. Further, high-cost hospital stays partially driven by ICU admissions may be reduced by step-down units. Intraoperatively, VSP may reduce operative time in difficult cases and careful selection of free versus locoregional flap reconstruction may decrease cost, operative time, and complications after surgery.SummaryHead and neck reconstruction is a costly endeavor both for the patient and the healthcare system. Careful consideration of practices which may improve outcomes for patients while maximizing efficiency is necessary in our changing healthcare landscape, and providers should identify areas for improvement in their own practices. Further study within the field of head and neck oncology that are specific and data-driven are necessary.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 413-419 |
| Number of pages | 7 |
| Journal | Current Opinion in Otolaryngology and Head and Neck Surgery |
| Volume | 27 |
| Issue number | 5 |
| DOIs | |
| State | Published - Oct 1 2019 |
| Externally published | Yes |
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Keywords
- oncology
- reconstruction
- value
ASJC Scopus subject areas
- Surgery
- Otorhinolaryngology
Cite this
Optimizing value in head and neck cancer free flap surgery. / Cash, Harrison; Abouyared, Marianne; Houlton, Jeffrey J.
In: Current Opinion in Otolaryngology and Head and Neck Surgery, Vol. 27, No. 5, 01.10.2019, p. 413-419.Research output: Contribution to journal › Review article
}
TY - JOUR
T1 - Optimizing value in head and neck cancer free flap surgery
AU - Cash, Harrison
AU - Abouyared, Marianne
AU - Houlton, Jeffrey J.
PY - 2019/10/1
Y1 - 2019/10/1
N2 - Purpose of reviewValue has become an increasingly important topic in healthcare delivery as our systems attempt to deliver increased value to patients at lower costs. This review highlights research performed regarding value for head and neck cancer reconstruction in three evolving areas: care pathway development, virtual surgical planning (VSP), and free flap versus locoregional flap reconstruction.Recent findingsImprovements in quality-driven patient care in head and neck free tissue transfer are possible in a number of areas. Care pathways and appropriate management of patients prone to comorbidities decrease hospital length of stay and readmission rates. Further, high-cost hospital stays partially driven by ICU admissions may be reduced by step-down units. Intraoperatively, VSP may reduce operative time in difficult cases and careful selection of free versus locoregional flap reconstruction may decrease cost, operative time, and complications after surgery.SummaryHead and neck reconstruction is a costly endeavor both for the patient and the healthcare system. Careful consideration of practices which may improve outcomes for patients while maximizing efficiency is necessary in our changing healthcare landscape, and providers should identify areas for improvement in their own practices. Further study within the field of head and neck oncology that are specific and data-driven are necessary.
AB - Purpose of reviewValue has become an increasingly important topic in healthcare delivery as our systems attempt to deliver increased value to patients at lower costs. This review highlights research performed regarding value for head and neck cancer reconstruction in three evolving areas: care pathway development, virtual surgical planning (VSP), and free flap versus locoregional flap reconstruction.Recent findingsImprovements in quality-driven patient care in head and neck free tissue transfer are possible in a number of areas. Care pathways and appropriate management of patients prone to comorbidities decrease hospital length of stay and readmission rates. Further, high-cost hospital stays partially driven by ICU admissions may be reduced by step-down units. Intraoperatively, VSP may reduce operative time in difficult cases and careful selection of free versus locoregional flap reconstruction may decrease cost, operative time, and complications after surgery.SummaryHead and neck reconstruction is a costly endeavor both for the patient and the healthcare system. Careful consideration of practices which may improve outcomes for patients while maximizing efficiency is necessary in our changing healthcare landscape, and providers should identify areas for improvement in their own practices. Further study within the field of head and neck oncology that are specific and data-driven are necessary.
KW - oncology
KW - reconstruction
KW - value
UR - http://www.scopus.com/inward/record.url?scp=85070842761&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85070842761&partnerID=8YFLogxK
U2 - 10.1097/MOO.0000000000000570
DO - 10.1097/MOO.0000000000000570
M3 - Review article
C2 - 31415262
AN - SCOPUS:85070842761
VL - 27
SP - 413
EP - 419
JO - Current Opinion in Otolaryngology and Head and Neck Surgery
JF - Current Opinion in Otolaryngology and Head and Neck Surgery
SN - 1068-9508
IS - 5
ER -