闭合切口负压疗法在初级全关节成形术中的成本效益:盈亏平衡分析。

IF 1.5 4区 医学 Q3 DERMATOLOGY
Andrew J Luzzi, William K Crockatt, Xavier Ferrer, Jennifer A Kunes, Roshan P Shah, Jeffrey A Geller, H John Cooper
{"title":"闭合切口负压疗法在初级全关节成形术中的成本效益:盈亏平衡分析。","authors":"Andrew J Luzzi, William K Crockatt, Xavier Ferrer, Jennifer A Kunes, Roshan P Shah, Jeffrey A Geller, H John Cooper","doi":"10.12968/jowc.2022.0134","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Surgical site complications (SSCs) are the leading cause of unplanned emergency department visits and readmissions following total joint arthroplasty (TJA). The use of closed-incision negative pressure therapy (ciNPT) has shown promise in reducing SSC occurrence. However, no study has evaluated the cost-effectiveness of ciNPT in primary TJA. The purpose of this study was to calculate the break-even absolute risk reduction (ARR) of SSCs, the break-even treatment cost of SSCs, and the break-even cost-of-use for ciNPT, based on existing literature to assess the cost-effectiveness of ciNPT in primary TJA.</p><p><strong>Method: </strong>Relevant values for ARR, infection treatment cost and intervention cost were obtained via literature review. A break-even analysis was conducted to investigate the cost-effectiveness of ciNPT use in primary TJA, as well as to derive the ARR, infection treatment cost (C<sub>t</sub>) and intervention protocol cost (C<sub>p</sub>) values at which ciNPT use becomes cost-effective.</p><p><strong>Results: </strong>The values derived from the literature review were as follows: C<sub>p</sub>=$160.76 USD; C<sub>t</sub>=$5348.78 USD; ARR=0.0375. The break-even ARR was calculated to be 3.0%, the break-even C<sub>p</sub> was calculated to be $200.58 USD, and the break-even C<sub>t</sub> was calculated to be $4286.93 USD. The ARR of ciNPT use was greater than the calculated break-even ARR.</p><p><strong>Conclusion: </strong>This analysis demonstrated that ciNPT use in primary TJA was cost-effective. By examining the difference between the calculated break-even C<sub>p</sub> and the C<sub>p</sub> reported in the literature, the cost saved per patient treated with ciNPT can be calculated to be $39.82 USD.</p>","PeriodicalId":17590,"journal":{"name":"Journal of wound care","volume":null,"pages":null},"PeriodicalIF":1.5000,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Cost-effectiveness of closed-incision negative pressure therapy in primary total joint arthroplasty: a break-even analysis.\",\"authors\":\"Andrew J Luzzi, William K Crockatt, Xavier Ferrer, Jennifer A Kunes, Roshan P Shah, Jeffrey A Geller, H John Cooper\",\"doi\":\"10.12968/jowc.2022.0134\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Surgical site complications (SSCs) are the leading cause of unplanned emergency department visits and readmissions following total joint arthroplasty (TJA). The use of closed-incision negative pressure therapy (ciNPT) has shown promise in reducing SSC occurrence. However, no study has evaluated the cost-effectiveness of ciNPT in primary TJA. The purpose of this study was to calculate the break-even absolute risk reduction (ARR) of SSCs, the break-even treatment cost of SSCs, and the break-even cost-of-use for ciNPT, based on existing literature to assess the cost-effectiveness of ciNPT in primary TJA.</p><p><strong>Method: </strong>Relevant values for ARR, infection treatment cost and intervention cost were obtained via literature review. A break-even analysis was conducted to investigate the cost-effectiveness of ciNPT use in primary TJA, as well as to derive the ARR, infection treatment cost (C<sub>t</sub>) and intervention protocol cost (C<sub>p</sub>) values at which ciNPT use becomes cost-effective.</p><p><strong>Results: </strong>The values derived from the literature review were as follows: C<sub>p</sub>=$160.76 USD; C<sub>t</sub>=$5348.78 USD; ARR=0.0375. The break-even ARR was calculated to be 3.0%, the break-even C<sub>p</sub> was calculated to be $200.58 USD, and the break-even C<sub>t</sub> was calculated to be $4286.93 USD. The ARR of ciNPT use was greater than the calculated break-even ARR.</p><p><strong>Conclusion: </strong>This analysis demonstrated that ciNPT use in primary TJA was cost-effective. By examining the difference between the calculated break-even C<sub>p</sub> and the C<sub>p</sub> reported in the literature, the cost saved per patient treated with ciNPT can be calculated to be $39.82 USD.</p>\",\"PeriodicalId\":17590,\"journal\":{\"name\":\"Journal of wound care\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2024-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of wound care\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.12968/jowc.2022.0134\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"DERMATOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of wound care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.12968/jowc.2022.0134","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"DERMATOLOGY","Score":null,"Total":0}
引用次数: 0

摘要

目的:手术部位并发症(SSC)是全关节置换术(TJA)后非计划急诊就诊和再住院的主要原因。使用闭合切口负压疗法(ciNPT)有望减少 SSC 的发生。然而,目前还没有研究对闭合切口负压疗法在初级 TJA 中的成本效益进行评估。本研究的目的是根据现有文献,计算 SSCs 的盈亏平衡绝对风险降低率 (ARR)、SSCs 的盈亏平衡治疗成本以及 ciNPT 的盈亏平衡使用成本,以评估 ciNPT 在原发性 TJA 中的成本效益:方法:通过文献综述获得 ARR、感染治疗成本和干预成本的相关数值。方法:通过文献综述获得 ARR、感染治疗成本和干预成本的相关值,并进行盈亏平衡分析,以研究在初治 TJA 中使用 ciNPT 的成本效益,以及得出 ARR、感染治疗成本 (Ct) 和干预方案成本 (Cp) 值,在这些值上使用 ciNPT 才具有成本效益:结果:文献综述得出的数值如下:Cp=160.76 美元;Ct=5348.78 美元;ARR=0.0375。计算得出的盈亏平衡 ARR 为 3.0%,盈亏平衡 Cp 为 200.58 美元,盈亏平衡 Ct 为 4286.93 美元。使用 ciNPT 的 ARR 大于计算出的盈亏平衡 ARR:该分析表明,在初次 TJA 中使用 ciNPT 具有成本效益。通过研究计算出的盈亏平衡 Cp 与文献报道的 Cp 之间的差异,可以计算出每位接受 ciNPT 治疗的患者节省的成本为 39.82 美元。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cost-effectiveness of closed-incision negative pressure therapy in primary total joint arthroplasty: a break-even analysis.

Objective: Surgical site complications (SSCs) are the leading cause of unplanned emergency department visits and readmissions following total joint arthroplasty (TJA). The use of closed-incision negative pressure therapy (ciNPT) has shown promise in reducing SSC occurrence. However, no study has evaluated the cost-effectiveness of ciNPT in primary TJA. The purpose of this study was to calculate the break-even absolute risk reduction (ARR) of SSCs, the break-even treatment cost of SSCs, and the break-even cost-of-use for ciNPT, based on existing literature to assess the cost-effectiveness of ciNPT in primary TJA.

Method: Relevant values for ARR, infection treatment cost and intervention cost were obtained via literature review. A break-even analysis was conducted to investigate the cost-effectiveness of ciNPT use in primary TJA, as well as to derive the ARR, infection treatment cost (Ct) and intervention protocol cost (Cp) values at which ciNPT use becomes cost-effective.

Results: The values derived from the literature review were as follows: Cp=$160.76 USD; Ct=$5348.78 USD; ARR=0.0375. The break-even ARR was calculated to be 3.0%, the break-even Cp was calculated to be $200.58 USD, and the break-even Ct was calculated to be $4286.93 USD. The ARR of ciNPT use was greater than the calculated break-even ARR.

Conclusion: This analysis demonstrated that ciNPT use in primary TJA was cost-effective. By examining the difference between the calculated break-even Cp and the Cp reported in the literature, the cost saved per patient treated with ciNPT can be calculated to be $39.82 USD.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Journal of wound care
Journal of wound care DERMATOLOGY-
CiteScore
2.90
自引率
10.50%
发文量
215
期刊介绍: Journal of Wound Care (JWC) is the definitive wound-care journal and the leading source of up-to-date research and clinical information on everything related to tissue viability. The journal was first launched in 1992 and aimed at catering to the needs of the multidisciplinary team. Published monthly, the journal’s international audience includes nurses, doctors and researchers specialising in wound management and tissue viability, as well as generalists wishing to enhance their practice. In addition to cutting edge and state-of-the-art research and practice articles, JWC also covers topics related to wound-care management, education and novel therapies, as well as JWC cases supplements, a supplement dedicated solely to case reports and case series in wound care. All articles are rigorously peer-reviewed by a panel of international experts, comprised of clinicians, nurses and researchers. Specifically, JWC publishes: High quality evidence on all aspects of wound care, including leg ulcers, pressure ulcers, the diabetic foot, burns, surgical wounds, wound infection and more The latest developments and innovations in wound care through both preclinical and preliminary clinical trials of potential new treatments worldwide In-depth prospective studies of new treatment applications, as well as high-level research evidence on existing treatments Clinical case studies providing information on how to deal with complex wounds Comprehensive literature reviews on current concepts and practice, including cost-effectiveness Updates on the activities of wound care societies around the world.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信