For early stage breast cancer, breast-conserving surgery (BCS) is a compelling alternative to mastectomy, resulting in lower complication rates,1 equivalent patient-reported quality of life and cosmesis,2 and equivalent or better survival rates.3 Unfortunately, these benefits may not be fully realized in women who undergo repeated surgery, usually to increase the resection margin.4 Although considerable attention has been drawn to this problem, the costs and complications resulting from additional operations are not well-characterized. Herein we present a retrospective review of insurance claims data for BCS patients performed to assess clinical complications and economic outcomes.
Metcalfe LN, Zysk AM, Yemul KS, Jacobs LK, Oker EE, Underwood HR, Thompson AM. Beyond the Margins—Economic Costs and Complications Associated With Repeated Breast-Conserving Surgeries. JAMA Surg. 2017;152(11):1084–1086. doi:10.1001/jamasurg.2017.2661