Early cost-utility estimation of the surgical correction of pectus excavatum with the Nuss bar
Abstract OBJECTIVES The surgical correction of pectus excavatum (PE) with a Nuss bar provides satisfactory outcomes, but its cost-effectiveness is yet unproven. We prospectively analysed early outcomes and costs for Nuss bar placement. METHODS Fifty-four patients aged 16 years or older (6 females an...
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Veröffentlicht in: | European journal of cardio-thoracic surgery 2019-04, Vol.55 (4), p.699-703 |
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Format: | Artikel |
Sprache: | eng |
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Zusammenfassung: | Abstract
OBJECTIVES
The surgical correction of pectus excavatum (PE) with a Nuss bar provides satisfactory outcomes, but its cost-effectiveness is yet unproven. We prospectively analysed early outcomes and costs for Nuss bar placement.
METHODS
Fifty-four patients aged 16 years or older (6 females and 48 males; mean age, 17.9 years; range 16.0–29.4 years) with a PE filled out a Short Form-36 Health Survey (SF-6D) preoperatively and 1 year after a Nuss procedure. Costs included professional fees and fees for the operating room, materials and hospital care. Changes in the responses to the SF-36 or its domains were compared using the Wilcoxon signed rank test and the utility test results were calculated preoperatively and postoperatively from the SF-6D. The quality-adjusted life years (QALYs) were calculated from the results of these tests.
RESULTS
Significant improvements in physical functioning, social functioning, mental health and health transition (all P €80 000/QALY) for patients with PE 1 year after Nuss bar placement. Based on this discrepancy, general health outcome measurements as the basis for cost-utility analysis in patients with PE may not be the best way forward. |
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ISSN: | 1010-7940 1873-734X |
DOI: | 10.1093/ejcts/ezy348 |