Cost-effectiveness analysis of the analgesic therapy of postoperative pain

Revista Latino-Americana de Enfermagem

Silvia Regina Secoli²  Kátia Grillo Padilha²  Júlio Litvoc¹ 

[1] ,University of São Paulo School of Nursing ,Brazil

关键词: health economics;    health evaluation;    postoperative pain;    analgesics;    economía de la salud;    evaluación en salud;    dolor post-operatoria;    analgésicos;    economia da saúde;    avaliação em saúde;    dor pós-operatória;    analgésicos;   

DOI  :  10.1590/S0104-11692008000100007

来源: SciELO

【 摘 要 】

The study aimed to compare cost-effectiveness of analgesic schemes administered to 89 patients submitted to hemorrhoidectomy, on the 1st postoperative day. The descriptive and retrospective study was carried out in a General Hospital, Sao Paulo, Brazil. In order to carry out the cost-effectiveness analysis, the five most frequently used analgesic schemes were identified in practice. The main outcome was the absence of breakthrough pain episodes. While calculating the costs, analgesics and all devices related to the schemes were taken into consideration. Codeine 120mg+acetaminophen 2000mg was the most effective therapy with the lowest cost per patient with no breakthrough pain episodes ($65.23). Incremental analysis indicated that codeine 120mg+acetaminophen 2000mg+ketoprofen 200mg involved the additional cost of $238.31 in case an extra effectiveness benefit was needed. The analysis showed that the most suitable choice of analgesic therapy should consider the resources available at the institution along with economic and clinical aspects.

【 授权许可】

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