Psychiatric Aspects of Mastectomy

James, Ross

doi:10.1111/j.1445-2197.1979.tb05860.x

Cited by 3 publications

(7 citation statements)

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“…It was largely neglected by the global public health community on the grounds that surgical care was too expensive [30]. In PNG, the situation is further compounded by the fact that 29% of the population seeking surgical care are at risk of catastrophic expenditure and impoverishment [10]. Introduction of financial strategies has aimed to reduce catastrophic expenditure [29].…”

Section: Discussionmentioning

confidence: 99%

“…The challenges faced in creating cost‐effective strategies in addressing acute appendicitis surgery in Milne Bay Province and PNG must be guided by the six global health indicators of surgery and current treatment guidelines for appendicitis [10, 13]. Basic epidemiological data, geographical understanding of catchment areas and financing should also guide efforts in curative surgical services at the PHC level.…”

Section: Discussionmentioning

confidence: 99%

“…Staff salaries, water and electricity costs are also funded by the government through the NDOH for provincial health facilities. However, 29% of the PNG population are at risk of catastrophic expenditure when accessing surgical services, and this can have cost implications in a resource‐limited setting [10].…”

Section: Introductionmentioning

confidence: 99%

“…The Lancet Commission on Global Surgery (LCoGS) estimates that 5 billion people do not have access to safe, affordable and timely surgical care, with 80% of those without access living in LMICs like Papua New Guinea (PNG) [8, 9]. A study by James et al reported that 27.8% of people in Milne Bay Province (PNG) did not have access to emergency surgery within two hours [10]. Such delay in presentation increases the risk of developing perforated appendicitis, sepsis and death [11–13].…”

Section: Introductionmentioning

confidence: 99%

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The Direct Medical Cost of Acute Appendicitis Surgery in a Resource‐Limited Setting of Papua New Guinea

Umo

James

2021

World j. surg.

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Background Acute appendicitis is a common surgical emergency, and challenges in access to surgery in a low middle‐income country can direct cost implications. Methods A prospective cost of illness study was conducted at Alotau Provincial Hospital (APH) from October 14, 2019, to June 1, 2020. A bottom‐up approach of microcosting was used to estimate the direct medical cost of consecutive patients with acute appendicitis undergoing surgery. Results The mean cost of acute appendicitis surgery for each patient was K39,517.66 (US$11,460.12) for uncomplicated appendicitis, K45,873.99 (US$13,303.46) for complicated appendicitis and K38,838.80 (US$ 11,263.25) for a normal appendix. In total, the direct medical cost for acute appendicitis in this study was K4,562,625.29 (US$ 1,323,161.33) with the majority of expenditure incurred by surgical ward expenses. Conclusion This study demonstrates that direct medical costs for uncomplicated appendicitis surgery in a resource‐limited hospital are less expensive. As the pathology progresses, the cost also exponentially increases. Policy makers and clinicians must establish appropriate curative surgical services at secondary (NOM of acute appendicitis and laparoscopic surgery) and primary health‐care levels to address acute appendicitis surgery as this can reduce costs.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Direct Medical Cost of Acute Appendicitis Surgery in a Resource‐Limited Setting of Papua New Guinea

Umo

James

2021

World j. surg.

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“…Reports of some experts showed that non-radical surgical approach with the conservation of a large part of the breast, psychologically and emotionally provides better patient status and better quality of life (5,6,7).…”

Section: Introductionmentioning

confidence: 99%

Analysis of the attitudes of women from rural and urban areas to non-tumor and tumor breast changes

Lazić¹,

Lukić²,

Ivić³

et al. 2015

Medicinska istraživanja

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The prospective study, which ran from January 2011 to January 2015, included the respondents who were treated from various non-tumor breast changes and breast tumors. The respondents were divided into 2 groups. First one, group A (280 respondents), consisted of the respondents who are residing in the rural area. Second one, group B (343 respondents), consisted of the respondents who have residence in urban area. The aim is to analyze the attitude to non-tumor diseases and breast tumors by women of rural and urban environment. The observed parameters are the reasons for coming to the breast examination: palpable formation in the breast, regular examination, breast pain, breast swelling and other changes. Parameters to compare the results were time intervals from the detection of palpable formations to examination. There was no statistically significant difference in inflammatory diseases of the breast, except in the case of breast abscess formation which is more common in the group A. A statistically significant difference among the groups was not found in the incidence of benign and / or malignant tumors of the breast, neither. It turned out that immediately after tumor detection by palpation, 4 patients in group A went to examination the next day. Patients in group B went 3 times more often to examination after a few days of the initial palpation of the tumor than patients in group A. There are much more women in group A who after only one year from the moment of palpable formation came to examination. The number of women, who have come to examination after a few months and / or years, is almost identical. Patients in group A have less responsible attitude towards non-tumor diseases and breast tumors, so it is possible for this group to be in higher degree of risk of late diagnosis of malignant tumors.

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Composite cone breast reconstruction: two-stage repair after mastectomy

Emmett¹

1981

British Journal of Plastic Surgery

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Psychiatric Aspects of Mastectomy

Cited by 3 publications

References 0 publications

The Direct Medical Cost of Acute Appendicitis Surgery in a Resource‐Limited Setting of Papua New Guinea

The Direct Medical Cost of Acute Appendicitis Surgery in a Resource‐Limited Setting of Papua New Guinea

Analysis of the attitudes of women from rural and urban areas to non-tumor and tumor breast changes

Composite cone breast reconstruction: two-stage repair after mastectomy

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