A PRELIMINARY COST-UTILITY ANALYSIS OF THE PROSTHETIC CARE INNOVATIONS: BASIC FRAMEWORK
| Autor: | Laurent Frossard |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Orthopedic surgery
Bionic Limbs Health Economic Evaluation Cost–utility analysis Bone-Anchored Prosthesis Computer science Cost effectiveness business.industry Artificial Limbs Bionic Limbs Bone-Anchored Prosthesis Cost-Effectiveness Cost-Utility Health Economic Evaluation Health Technology Assessment Prosthesis Socket-Suspended Prosthesis Rehabilitation Artificial Limbs Time horizon Benchmarking Risk analysis (engineering) Return on investment New product development Medical technology Cost-Utility Cost-Effectiveness R855-855.5 Baseline (configuration management) business RD701-811 Strengths and weaknesses |
| Zdroj: | Canadian Prosthetics & Orthotics Journal, Vol 4, Iss 2 (2021) |
| Popis: | A preliminary cost-utility analysis (CUA) of prosthetic care innovations can provide timely information during the early stage of product development and clinical usage. Concepts of preliminary CUAs are emerging. However, several obstacles must be overcome before these analyses are performed routinely. Disparities of methods and high uncertainty make the outcomes of usual preliminary CUAs challenging to interpret, appraise and share. These shortcomings create opportunities for a basic framework of preliminary CUAs. First, I introduced a basic framework of a preliminary CUA built around a series of constructs and hands-on recommendations. Then, I appraised this framework considering the strengths and weaknesses, barriers and facilitators, and return on investment. The design of the basic framework was determined through the review of health economic and prosthetic-specific literature. A preliminary CUA comparing the costs and utilities between usual intervention and an innovation could be achieved through a 15-step iterative process focusing on feasibility, constructs, analysis, and interpretation of outcomes. This CUA provides sufficient evidence to identify knowledge gaps and improvement areas, educate about the design of subsequent full CUAs, and obtain fast-track approval from governing bodies. Like previous CUAs, the main limitations were inherent to the constructs (e.g., narrow perspective, plausible scenarios, mid-term time horizon, substantial assumptions, data mismatch, high uncertainty). Key facilitators potentially transferable across preliminary CUAs of prosthetic care innovations included choosing abided constructs, capitalizing on prior schedules of expenses, and benchmarking baseline or incremental utilities. This new approach with preliminary CUA can simplify the selection of methods, standardize outcomes, ease comparisons between innovations, and streamline pathways for adoption. Further collegial efforts toward validating standard preliminary CUAs will facilitate access to economic prosthetic care innovations, improving the lives of individuals suffering from limb loss worldwide. Article PDF Link: https://jps.library.utoronto.ca/index.php/cpoj/article/view/36365/28328 How To Cite: Frossard L. A preliminary cost-utility analysis of the prosthetic care innovations: basic framework. Canadian Prosthetics & Orthotics Journal. 2021; Volume 4, Issue 2, No.10. https://doi.org/10.33137/cpoj.v4i2.36365 Corresponding Author: Laurent Frossard (PhD), Professor of BionicsYourResearchProject Pty Ltd, Brisbane, Australia.E-Mail: laurentfrossard@outlook.comORCID number: https://orcid.org/0000-0002-0248-9589 |
| Databáze: | OpenAIRE |
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