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The CelluTome epidermal graft-harvesting system: a patient-reported outcome measure and cost evaluation study

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. Green open access

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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
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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