Cost-effectiveness analyses of elective orthopaedic surgical procedures in patients with inflammatory arthropathies

Autor: Maria K. Kvamme, M Thingstad, T.K. Kvien, Hanne Dagfinrud, H Osnes-Ringen, Ivar Sønbø Kristiansen, J E Henriksen
Jazyk: angličtina
Rok vydání: 2011
Předmět:
Zdroj: Osnes-Ringen, H, Kvamme, M K, Sønbø Kristiansen, I, Thingstad, M, Henriksen, J E, Kvien, T K & Dagfinrud, H 2011, ' Cost-effectiveness analyses of elective orthopaedic surgical procedures in patients with inflammatory arthropathies ', Scandinavian Journal of Rheumatology, vol. 40, no. 2, pp. 108-115 . https://doi.org/10.3109/03009742.2010.503661
DOI: 10.3109/03009742.2010.503661
Popis: Objective: To examine the costs per quality-adjusted life year (QALY) gained for surgical interventions in patients with inflammatory arthropathies, and to compare the costs per QALY gained for replacement versus non-replacement surgical interventions. Methods: In total, 248 patients [mean age 57 (SD 13) years, 77% female] with inflammatory arthropathies underwent orthopaedic surgical treatment and responded to mail surveys at baseline and during follow-up (3, 6, 9, and 12 months). Questionnaires included the quality-of-life EuroQol-5D (EQ-5D) and Short Form-6D (SF-6D) utility scores. The health benefit from surgery was subsequently translated into QALYs. The direct treatment costs in the first year were, for each patient, derived from the hospital's cost per patient accounting system (KOSPA). The costs per QALY were estimated and future costs and benefits were discounted at 4%. Results: Improvement in utility at 1-year follow-up was 0.10 with EQ-5D and 0.03 with SF-6D (p
Databáze: OpenAIRE