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health economics

A two-axis diagram. The horizontal axis is additional benefit, the vertical axis additional cost, with the comparator at the centre. The top-right quadrant is more costly and more effective, where the question is whether the extra benefit is worth the extra cost. The bottom-right is cheaper and better, dominant. The top-left is costlier and worse, dominated. Three comparisons are placed schematically. DIEP flap against implant, top right, about 11,941 US dollars per breast-related QALY, judged cost-effective. Dermal matrix in two-stage expander reconstruction against none, just above the origin to the right, judged cost-effective. Dermal matrix against an autologous dermal flap in single-stage reconstruction, slightly above the origin with almost no extra benefit, 261,720 dollars per QALY, judged not cost-effective.
Clinical Insights — 09 October 2026

The Cost-Effectiveness of Breast Reconstruction: What Actually Drives the Numbers

Unit price is the least informative number in reconstruction economics. Complications, theatre time and the number of operations drive cost; the unit…

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