Hyaluronic acid treatment versus standard of care in chronic wounds in a German setting: Cost-effectiveness analysis

Blunck D, Schöffski O (2023)


Publication Type: Journal article

Publication year: 2023

Journal

Book Volume: 6

Journal Issue: 1

DOI: 10.1002/hsr2.969

Abstract

Background and AimsChronic wounds are a major burden for worldwide health care systems. In the management of chronic wounds several strategies with innovative and active agents emerged in the past few years, such as hyaluronic acid containing wound dressings. Evidence comparing the cost-effectiveness of hyaluronan and standard of care dressings (hydrofiber with silver) is still missing. The aim of the study is thus, to assess the cost-effectiveness of hyaluronan versus standard of care dressings (hydrofiber with silver) in chronic wounds from a German statutory health insurance perspective. MethodsA decision tree was modeled to quantify the cost and healing rate at 12 weeks for the hyaluronan and silver dressings strategies. Input parameters were collected literature-based, accounting for healing rates, dressing prices and prices for dressing changes and associated home care. Parameter uncertainty was accounted for by one-way and probabilistic sensitivity analysis. ResultsHyaluronic acid showed a better healing rate (60.68%) and noticeable lower cost (749.80 Euro) compared to standard of care (silver containing) dressings (59.62%; 883.05 Euro), resulting in an Incremental Cost Effectiveness Ratio of -12,570.57. The hyaluronan approach is hence a dominant strategy in chronic wound management. Sensitivity analysis confirmed these results, giving a range of 60%- 70% of cost-effective scenarios. ConclusionsHyaluronic acid dressings showed to be a clinical more effective strategy at significantly lower cost in chronic wounds compared to standard of care (hydrofiber with silver).

Authors with CRIS profile

How to cite

APA:

Blunck, D., & Schöffski, O. (2023). Hyaluronic acid treatment versus standard of care in chronic wounds in a German setting: Cost-effectiveness analysis. Health Science Reports, 6(1). https://dx.doi.org/10.1002/hsr2.969

MLA:

Blunck, Dominik, and Oliver Schöffski. "Hyaluronic acid treatment versus standard of care in chronic wounds in a German setting: Cost-effectiveness analysis." Health Science Reports 6.1 (2023).

BibTeX: Download