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Authordc.contributor.authorDanilla, Stefan V. 
Authordc.contributor.authorJara, Rocío P. 
Authordc.contributor.authorMiranda, Felipe 
Authordc.contributor.authorBencina, Francisco 
Authordc.contributor.authorAguirre, Marcela 
Authordc.contributor.authorTroncoso, Ekaterina 
Authordc.contributor.authorErazo, Cristian A. 
Authordc.contributor.authorAndrades, Patricio R. 
Authordc.contributor.authorSepúlveda, Sergio L. 
Authordc.contributor.authorAlbornoz, Claudia R. 
Cita de ítemdc.identifier.citationAesthetic Surgery Journal 2020, Vol 40(7) 721–731es_ES
Abstractdc.description.abstractBackground: Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is an emergent disease that threatens patients with texturized breast implants. Major concerns about the safety of these implants are leading to global changes to restrict the utilization of this product. The principal alternative is to perform breast augmentation utilizing smooth implants, given the lack of association with BIA-ALCL. The implications and costs of this intervention are unknown. Objectives: The authors of this study determined the cost-effectiveness of smooth implants compared with texturized implants for breast augmentation surgery. Methods: A tree decision model was utilized to analyze the cost-effectiveness. Model input parameters were derived from published sources. The capsular contracture (CC) rate was calculated from a meta-analysis. Effectiveness measures were life years, avoided BIA-ALCL, avoided deaths, and avoided reoperations. A sensitivity analysis was performed to test the robustness of the model. Results: For avoided BIA-ALCL, the incremental cost was $18,562,003 for smooth implants over texturized implants. The incremental cost-effectiveness ratio was negative for life years, and avoided death and avoided reoperations were negative. The sensitivity analysis revealed that to avoid 1 case of BIA-ALCL, the utilization of smooth implants would be cost-effective for a risk of developing BIA-ALCL equal to or greater than 1:196, and there is a probability of CC with smooth implants equal to or less than 0.096. Conclusions: The utilization of smooth implants to prevent BIA-ALCL is not cost-effective. Banning texturized implants to prevent BIA-ALCL may involve additional consequences, which should be considered in light of higher CC rates and more reoperations associated with smooth implants than with texturized implants.es_ES
Publisherdc.publisherOxford University Presses_ES
Type of licensedc.rightsAttribution-NonCommercial-NoDerivs 3.0 Chile*
Link to Licensedc.rights.uri*
Sourcedc.sourceAesthetic Surgery Journales_ES
Keywordsdc.subjectPovidone-iodine irrigationes_ES
Keywordsdc.subjectCapsular contracturees_ES
Keywordsdc.subjectSmooth implantses_ES
Títulodc.titleIs banning texturized implants to prevent breast implant-associated anaplastic large cell lymphoma a rational decision? A meta-analysis and cost-effectiveness studyes_ES
Document typedc.typeArtículo de revistaes_ES
dcterms.accessRightsdcterms.accessRightsAcceso Abierto
Indexationuchile.indexArtículo de publicación ISIes_ES

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Attribution-NonCommercial-NoDerivs 3.0 Chile
Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivs 3.0 Chile