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Titolo:
Medical and economic evaluation of organ transplantation in France, with an application to liver transplantation
Autore:
Fourquet, F; Le Gales, C; Rufat, P; Houssin, D; Coste, J;
Indirizzi:
Hop Cochin, Dept Biostat & Informat Med, F-75674 Paris 14, France Hop Cochin Paris France 14 stat & Informat Med, F-75674 Paris 14, France
Titolo Testata:
REVUE D EPIDEMIOLOGIE ET DE SANTE PUBLIQUE
fascicolo: 3, volume: 49, anno: 2001,
pagine: 259 - 272
SICI:
0398-7620(200106)49:3<259:MAEEOO>2.0.ZU;2-9
Fonte:
ISI
Lingua:
FRE
Soggetto:
QUALITY-OF-LIFE; COST-EFFECTIVENESS ANALYSIS; HEPATIC TRANSPLANTATION; HEART-TRANSPLANTATION; OUTCOMES ANALYSIS; VIRAL-HEPATITIS; CIRRHOSIS; EFFICACY; DISEASE; ADULTS;
Keywords:
cost analysis; organ transplantation; liver transplantation; quality of life; prospective studies;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
49
Recensione:
Indirizzi per estratti:
Indirizzo: Coste, J Hop Cochin, Dept Biostat & Informat Med, 27 Rue Faubourg St Jacques, F-75674 Paris 14, France Hop Cochin 27 Rue Faubourg St Jacques Paris France 14 14, France
Citazione:
F. Fourquet et al., "Medical and economic evaluation of organ transplantation in France, with an application to liver transplantation", REV EPIDEM, 49(3), 2001, pp. 259-272

Abstract

Background: Organ transplantation is an expensive and risky medical procedure. Estimating the cost is difficult because the care is complex and involves many actors. We present a methodological framework for the economic evaluation of organ transplantation in France which include a detailed collection of all the direct costs and the simultaneous analysis of health status.it was applied to evaluate the cost of liver transplantation in France. Methods: All consecutive adults transplanted or placed on the waiting listof liver transplantation in the Department of Surgery of Cochin Hospital, Paris, between 1994 and 1996 were included. All resource use was measured during one year: staff wages, pharmacy and blood, laboratory and radiology supplies, overhead hospital services. Mean quality of life was estimated by the survival weighted by the Karnofsky index. Results : Transplantation: 38 patients were included. The first year mean cost after transplantation was 561,000FF (included rehospitalisations cost of 120,000FF). Care outside the hospital induced 10% of the total cost. Mean quality of life was 63% (from 0% to 93%) and increased with rime, whereascost decreased. Waiting list: 26 of 33 patients on waiting list were transplanted. The first year mean cost was 95,000FF (included 32,000FF for firstevaluation) and increased with time. 44% of cost was supported by another hospital than the transplanting one. Sickness allowance added 20% to the cost. The mean quality of life was 56% during the first year. Conclusions: This complete approach of organ transplantation cost respected the medical procedure over the rime. Detailed costs take into account thecare outside the hospital. This method can be used in other countries and generalised to all surgical or medical procedure as heavy as the organ transplantation.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 17/01/21 alle ore 17:22:39