The cost-effectiveness of prevention of post-operative thromboembolism

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Bergqvist, D (författare)

The cost-effectiveness of prevention of post-operative thromboembolism

Artikel/kapitelEngelska1990

Förlag, utgivningsår, omfång ...

1990

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LIBRIS-ID:oai:lup.lub.lu.se:f4b6166f-a486-4777-87f2-79050c0c8940
https://lup.lub.lu.se/record/1105204URI

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Språk:engelska
Sammanfattning på:engelska

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Ämneskategori:art swepub-publicationtype
Ämneskategori:ref swepub-contenttype

Anmärkningar

In recent years, value for money in health care has become of increasing concern. There are various ways to perform an economic evaluation, the most simple being a cost-effectiveness analysis, where differences in costs will influence the choice between methods. Cost-utility and cost-benefit analyses represent more advanced forms of economic evaluations. In this cost-effectiveness analysis, the following three strategies aimed at solving the problem of post-operative thromboembolic complications were compared: (a) no prophylaxis but treatment of occurring complications, (b) general prophylaxis with low-dose heparin for patients over 40 years of age and (c) selective treatment based on post-operative surveillance with a fibrinogen uptake test. Moreover, these alternatives were evaluated for three types of surgery: general abdominal surgery, cholecystectomy and elective hip surgery. Costs for thromboembolic and haemorrhagic complications were estimated from data available for patients hospitalized in Malmo. A sensitivity analysis was made with regard to the frequency of thrombosis, prophylactic effect and treatment costs. Health care costs would be minimized with general prophylaxis in hip and general surgery, whereas no prophylaxis is the most cost-effective alternative in cholecystectomy patients, i.e. with a frequency of thrombosis below 8%. General prophylaxis minimized the duration of patients' health losses due to thromboembolic disease in general, as well as in elective hip surgery. After cholecystectomy, no difference in health loss for the individual was found between the alternative of no prophylaxis and general prophylaxis. Selective treatment was always the least satisfactory alternative in all categories and always the most expensive.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine hsv//eng

Biuppslag (personer, institutioner, konferenser, titlar ...)

Mätzsch, ThomasLund University,Lunds universitet,Institutionen för kliniska vetenskaper, Malmö,Medicinska fakulteten,Department of Clinical Sciences, Malmö,Faculty of Medicine(Swepub:lu)kir-tma (författare)
Jendteg, S (författare)
Lindgren, B (författare)
Persson, U (författare)
Institutionen för kliniska vetenskaper, MalmöMedicinska fakulteten (creator_code:org_t)

Sammanhörande titlar

Ingår i:Acta chirurgica Scandinavica. Supplementum556, s. 36-410301-1860

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https://lup.lub.lu.se/record/1105204

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Acta chirurgica Scandinavica. Supplementum (Sök värdpublikationen i LIBRIS)

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Av författaren/redakt...: Bergqvist, D; Mätzsch, Thomas; Jendteg, S; Lindgren, B; Persson, U

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin

Artiklar i publikationen: Acta chirurgica ...

Av lärosätet: Lunds universitet

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