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Patients with unila...
Patients with unilateral transfemoral amputation treated with a percutaneous osseointegrated prosthesis. A cost-effectiveness analysis
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- Hansson, Elisabeth K, 1954 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences
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- Hagberg, Kerstin, 1957 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics
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Cawson, M. (författare)
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Brodtkorb, T. H. (författare)
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(creator_code:org_t)
- 2018
- 2018
- Engelska.
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Ingår i: Bone and Joint Journal. - 2049-4394. ; 100-B:4, s. 527-534
- Relaterad länk:
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https://gup.ub.gu.se...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Aims: The aim of this study was to compare the cost-effectiveness of treatment with an osseointegrated percutaneous (OI-) prosthesis and a socket-suspended (S-) prosthesis for patients with a transfemoral amputation. Patients and Methods: A Markov model was developed to estimate the medical costs and changes in quality-adjusted life-years (QALYs) attributable to treatment of unilateral transfemoral amputation over a projected period of 20 years from a healthcare perspective. Data were collected alongside a prospective clinical study of 51 patients followed for two years. Results: OI-prostheses had an incremental cost per QALY gained of €83 374 compared with S-prostheses. The clinical improvement seen with OI-prostheses was reflected in QALYs gained. Results: were most sensitive to the utility value for both treatment arms. The impact of an annual decline in utility values of 1%, 2%, and 3%, for patients with S-prostheses resulted in a cost per QALY gained of €37 020, €24 662, and €18 952, respectively, over 20 years. Conclusion: From a healthcare perspective, treatment with an OI-prosthesis results in improved quality of life at a relatively high cost compared with that for S-prosthesis. When patients treated with S-prostheses had a decline in quality of life over time, the cost per QALY gained by OI-prosthesis treatment was considerably reduced.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Nyckelord
- adult
- Article
- computer assisted tomography
- cost effectiveness analysis
- device infection
- device removal
- female
- follow up
- human
- leg amputation
- major clinical study
- male
- medical record
- osseointegration
- patient-reported outcome
- preoperative evaluation
- priority journal
- prospective study
- prosthesis loosening
- quality adjusted life year
- quality control procedures
- Short Form 36
- skin penetration
- surgical patient
- transfemoral amputation
- amputation
- cost benefit analysis
- devices
- economics
- femur
- limb prosthesis
- Markov chain
- middle aged
- outcome assessment
- procedures
- prosthesis implantation
- quality of life
- rehabilitation
- surgery
- Sweden
- Artificial Limbs
- Cost-Benefit Analysis
- Follow-Up Studies
- Humans
- Markov Chains
- Outcome Assessment (Health Care)
- Prospective Studies
- Quality-Adjusted Life Years
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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