Cost‐effectiveness analysis of superabsorbent wound dressings in patients with moderate‐to‐highly exuding leg ulcers in Germany
Autor: | Uwe Siebert, Vladica M Veličković, Máté Szilcz, Zoran Milošević, Thomas Godfrey |
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Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Cost effectiveness Cost-Benefit Analysis Dermatology leg ulcers Quality of life Healing rate Germany Humans Medicine In patient Wound Healing business.industry Leg Ulcer superabsorbent wound dressings Original Articles cost‐effectiveness Cost-effectiveness analysis Direct cost Bandages Clinical trial Systematic review Quality of Life Physical therapy Original Article Surgery business wound dressings |
Zdroj: | International Wound Journal |
ISSN: | 1742-481X 1742-4801 |
Popis: | The study aims to estimate the cost‐effectiveness of superabsorbent wound dressings compared to the standard‐of‐care (SoC) dressings mix for treatment of patients with moderate‐to‐highly exuding leg ulcers in the German healthcare settings. A model‐based cost‐effectiveness analysis was conducted from the German statutory health insurance perspective, following German specific and international recommendations of good research practice. An individual‐level (microsimulation) state‐transition model has been used with a cycle length of 1 week and time horizon of 6 months. Several comprehensive systematic reviews were conducted to inform all model inputs, including clinical parameters, efficacy, quality of life, resources utilisation, and cost inputs. In addition, primary data from two clinical trials were used. Based on this cost‐effectiveness analysis, using superabsorbent wound dressings instead of the SoC dressings of patients with moderate‐to‐highly exuding leg ulcers in Germany can lead to an improved healing rate of 2.57% (benefit ratio 1.08), improved health‐related quality of life of 0.152 quality‐adjusted life weeks, and total direct cost savings of €771 per patient in 6 months. Robustness of results was confirmed in sensitivity and scenario analyses. |
Databáze: | OpenAIRE |
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