Cost-effectiveness analysis of five procedures for great saphenous vein reflux in a Norwegian healthcare setting or societal setting:

SAGE Open Medicine

EivindInderhaug¹ 

关键词: cost-effectiveness analysis;    endovascular surgery;    endovenous laser ablation;    radiofrequency ablation;    steam vein sclerosis;    cyanoacrylate glue;   

DOI  :  10.1177/2050312118801709

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Objective:The aim of this work was to estimate cost-effectiveness of five common procedures for varicose vein surgery (high ligation and stripping, radiofrequency ablation, endovenous laser ablation, steam vein sclerosis and cyanoacrylate glue) in a Norwegian setting from both a societal and a healthcare payer perspective.Design:Cost-effectiveness analysis using decision tree modelling.Methods:A structured literature search was conducted to estimate the clinical effectiveness and the rate of complications in the five methods. Data on costs and health-related quality of life associated with varicose vein disease were also collected. With the aid of an expert panel, a structured decision tree was developed. A 1-year perspective was modelled, and a variety of common complications were included. Monte Carlo simulation was used for probabilistic sensitivity analyses.Results:The laser ablation strategy was the most cost-effective option from a societal perspective, with an incremental cost-effectiveness ratio o...

【 授权许可】

CC BY