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Titolo:
The cost-effectiveness of neonatal surgery and subsequent treatment for congenital anorectal malformations
Autore:
Poley, MJ; Stolk, EA; Langemeijer, RATM; Molenaar, JC; Busschbach, JJV;
Indirizzi:
Erasmus Univ, Univ Rotterdam Hosp, Sophia Childrens Hosp, Inst Med TechnolAssessement,IMTA, Rotterdam, Netherlands Erasmus Univ Rotterdam Netherlands ssement,IMTA, Rotterdam, Netherlands Erasmus Univ, Univ Rotterdam Hosp, Sophia Childrens Hosp, Dept Pediat Surg, Rotterdam, Netherlands Erasmus Univ Rotterdam Netherlands Pediat Surg, Rotterdam, Netherlands
Titolo Testata:
JOURNAL OF PEDIATRIC SURGERY
fascicolo: 10, volume: 36, anno: 2001,
pagine: 1471 - 1478
SICI:
0022-3468(200110)36:10<1471:TCONSA>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
QUALITY-OF-LIFE; POSTERIOR SAGITTAL ANORECTOPLASTY; HEALTH UTILITIES INDEX; NERVOUS-SYSTEM TUMORS; CHILDREN; SURVIVORS; CHILDHOOD; EUROQOL; DISEASE; INTERMEDIATE;
Keywords:
cost-effectiveness; neonatal surgery; anus; rectum; costs and cost analysis; quality of life; quality-adjusted life-years;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
41
Recensione:
Indirizzi per estratti:
Indirizzo: Poley, MJ Inst Med Technol Assessment, IMTA, POB 1738, NL-3000 DR Rotterdam, Netherlands Inst Med Technol Assessment POB 1738 Rotterdam Netherlands NL-3000 DR
Citazione:
M.J. Poley et al., "The cost-effectiveness of neonatal surgery and subsequent treatment for congenital anorectal malformations", J PED SURG, 36(10), 2001, pp. 1471-1478

Abstract

Background/Purpose: The progress made in all fields of medicine, includingneonatal surgery, has contributed to the rise in healthcare costs. Although neonatal surgery may provide survival gains, these could be at the expense of worse quality of life caused by impairment after surgery. For example,congenital anorectal malformations (CAM) are complex anomalies, and the surgical techniques available have their limitations in achieving continence. It therefore seems justifiable to consider what the effects of treatment are in relation to the costs. Evidence of the cost-effectiveness of neonatalsurgery, however, is lacking. Methods: The authors analyzed both direct and indirect, medical and nonmedical costs in patients who had undergone treatment for CAM. Quality-adjusted life years (QALYs) were measured using the EuroQol EQ-5D questionnaire. Descriptive quality-of-life data were collected using a disease-specific questionnaire and a medical consumption questionnaire. Results: Mean costs of treatment are calculated at Euro Euro 31,593. Treated CAM patients suffer stool difficulties and their medical consumption is relatively high. The EQ-5D, however, shows that the quality of life of CAM patients is only slightly lower than that of the general population (0.88 v0.93). Treatment results in a gain of 12.7 QALYs. Costs per QALY of treatment for CAM amount to Euro 2,482. Conclusions: Treatment for CAM has a favorable cost-effectiveness ratio compared with other evaluated healthcare programs. Bearing in mind the increasing political interest in evidence-based and cost-effective medicine, the results are encouraging. Copyright (C) 2001 by W.B. Saunders Company.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 07/07/20 alle ore 06:00:49