Smith, OJ;
Edmondson, SJ;
Bystrzonowski, N;
Hachach-Haram, N;
Kanapathy, M;
Richards, T;
Mosahebi, A;
(2017)
The CelluTome epidermal graft-harvesting system: a patient-reported outcome measure and cost evaluation study.
International Wound Journal
, 14
(3)
pp. 555-560.
10.1111/iwj.12644.
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Abstract
Conventional split skin grafts (SSG) require anaesthesia, specialist equipment and can have high donor site (DS) morbidity. The CelluTome epidermal graft-harvesting device is a novel alternative, providing pain-free epidermal skin grafts (ESG) in the outpatient setting, with projected minimal DS trauma and improved patient satisfaction. This study aimed to compare ESG with SSG by evaluating patient-related outcome measures (PROMs) and the cost implications of both. Twenty patients answered a graft satisfaction questionnaire that evaluated: donor/graft site noticeability, aesthetic concerns, adverse problems and patient satisfaction. Cost/patient was calculated based on total operative expenses and five clinic follow-ups. In 100% of the ESG cases, there were no DS noticeability or adverse problems compared to 25% in the SSG group. Complete satisfaction with DS appearance was observed in 100% of the ESG cases (50% SSG). Noticeability, adverse problems and overall satisfaction were significantly better in ESG cases (P < 0.05). Graft site parameters were comparable with similar healing outcomes. The cost per patient for ESG was £431 and £1489 for SSG, with an annual saving of £126 960 based on 10 grafts/month. For the right patient, CelluTome provides comparable wound healing, with reduced DS morbidity and higher patient satisfaction.
| Type: | Article |
|---|---|
| Title: | The CelluTome epidermal graft-harvesting system: a patient-reported outcome measure and cost evaluation study |
| Location: | England |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1111/iwj.12644 |
| Publisher version: | http://doi.org/10.1111/iwj.12644 |
| Language: | English |
| Additional information: | This is the peer reviewed version of the following article: Smith, O. J., Edmondson, S.-J., Bystrzonowski, N., Hachach-Haram, N., Kanapathy, M., Richards, T. and Mosahebi, A. (2016), The CelluTome epidermal graft-harvesting system: a patient-reported outcome measure and cost evaluation study. Int Wound J., which has been published in final form at http://dx.doi.org/10.1111/iwj.12644. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. |
| Keywords: | CelluTome, Cost analysis, Epidermal skin grafting, Patient-recorded outcome measures, Split skin grafting |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci > Department of Surgical Biotechnology UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Inst of Clinical Trials and Methodology UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Inst of Clinical Trials and Methodology > MRC Clinical Trials Unit at UCL |
| URI: | https://discovery.ucl.ac.uk/id/eprint/1508082 |
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