Can choices between alternative hip prostheses be evidence based? a review of the economic evaluation literature

Cost Effectiveness and Resource Allocation

Review

Paula Lorgelly¹  Keith Tucker²  Miranda Mugford³  Ian Shemilt³  Charlotte Davies³  Alex MacGregor³ 

[1] Centre for Health Economics, Monash University, Australia;Norfolk and Norwich University Hospitals, Colney Lane, Norwich, UK;School of Medicine, Health Policy and Practice, University of East Anglia, UK;

关键词: Economic Evaluation;    National Health Service;    Economic Evaluation Study;    Full Economic Evaluation;    National Joint Registry;   

DOI  :  10.1186/1478-7547-8-20

 received in 2009-10-12, accepted in 2010-10-29,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundTotal hip replacement surgery places a considerable financial burden on health services and society. Given the large number of hip prostheses available to surgeons, reliable economic evidence is crucial to inform resource allocation decisions. This review summarises published economic evidence on alternative hip prostheses to examine the potential for the literature to inform resource allocation decisions in the UK.MethodsWe searched nine medical and economics electronic databases. 3,270 studies were initially identified, 17 studies were included in the review. Studies were critically appraised using three separate guidelines.ResultsSeveral methodological problems were identified including a lack of observed long term prosthesis survival data, limited up-to-date and UK based evidence and exclusion of patient and societal perspectives.ConclusionsMore clinical trials including long term follow-up and economic evaluation are needed. These should compare the cost-effectiveness of different prostheses with longer-term follow-up and including a wider perspective.

【 授权许可】

CC BY   
© Davies et al; licensee BioMed Central Ltd. 2010