Cost-utility analysis of dynamic intraligamentary stabilization versus early reconstruction after rupture of the anterior cruciate ligament

Journal article
(Original article)


Publication Details

Author(s): Bierbaum M, Schöffski O, Schliemann B, Kösters C
Journal: Health Economics Review
Publication year: 2017
Volume: 7
Journal issue: 8
ISSN: 2191-1991
Language: English


Abstract



Objectives



The aim of this study was to evaluate the cost-effectiveness of the dynamic intraligamentary stabilization (DIS) technique in comparison with reconstructive surgery (ACLR) in the treatment of isolated anterior cruciate ligament (ACL) ruptures from the perspective of the community of insured citizens in Germany.





Methods



Because of the specific decision problem at hand, namely that with DIS the procedure has to take place within 21 days after the initial trauma, a decision tree was developed.



The time horizon of the model was set to 3 years. Input data was taken from official tariffs, payer data, the literature and assumptions based on expert opinion when necessary.





Results



The decision tree analysis identified the DIS strategy as the superior one with 2.34 QALY versus 2.26 QALY for the ACLR branch. The higher QALY also came with higher costs of 5,398.05 € for the DIS branch versus 4,632.68 € for the ACLR branch respectively, leading to an ICER of 9,092.66 € per QALY. Results were robust after sensitivity analysis. Uncertainty was examined via probabilistic sensitivity analysis resulting in a slightly higher ICER of 9,567.13 € per QALY gained.





Conclusion



The DIS technology delivers an effective treatment for the ACL rupture at a favorable incremental cost-effectiveness ratio.




 


FAU Authors / FAU Editors

Bierbaum, Martin Dr.
Lehrstuhl für Betriebswirtschaftslehre, insbesondere Gesundheitsmanagement
Schöffski, Oliver Prof. Dr.
Lehrstuhl für Betriebswirtschaftslehre, insbesondere Gesundheitsmanagement


How to cite

APA:
Bierbaum, M., Schöffski, O., Schliemann, B., & Kösters, C. (2017). Cost-utility analysis of dynamic intraligamentary stabilization versus early reconstruction after rupture of the anterior cruciate ligament. Health Economics Review, 7(8). https://dx.doi.org/10.1186/s13561-017-0143-9

MLA:
Bierbaum, Martin, et al. "Cost-utility analysis of dynamic intraligamentary stabilization versus early reconstruction after rupture of the anterior cruciate ligament." Health Economics Review 7.8 (2017).

BibTeX: 

Last updated on 2018-17-10 at 06:20