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PURPOSE: The increasing popularity of immediate breast reconstruction and a shifting focus towards ambulatory breast surgery has been met with growing regulatory pressures for quality assurance, patient satisfaction and cost-effectiveness. In an effort to optimize postoperative pain control following breast reconstruction, Paravertebral Blocks (PVB), have emerged as promising adjuncts to standard analgesic protocols. Studies on the efficacy and economic implications of PVB’s are limited, specifically the tradeoff between its clinical impact and incremental cost associated with delivering the service. Our objective was to evaluate the cost-effectiveness of PVB’s for the prevention and treatment of acute pain in patients undergoing breast reconstruction post mastectomy at a large tertiary care academic hospital in Canada.

Abstract 17: Tibial Nerve Decompression for the Prevention of the Diabetic Foot: A Cost-Utility Analysis Using Markov Model Simulations