Publication type: | Article in scientific journal |
Type of review: | Peer review (publication) |
Title: | The health technology assessment of the compulsory accident insurance scheme of hand transplantation in Switzerland |
Authors: | Brügger, Urs Plessow, Rafael Hess, Sascha Caballero, Ascension Eichler, Klaus Meyer, Viktor von Wartburg, Urs |
DOI: | 10.1177/1753193414559463 |
Published in: | Journal of Hand Surgery (European Volume) |
Volume(Issue): | 40 |
Issue: | 9 |
Page(s): | 914 |
Pages to: | 923 |
Issue Date: | 2014 |
Publisher / Ed. Institution: | Sage |
ISSN: | 1753-1934 2043-6289 |
Language: | English |
Subjects: | Hand transplantation; Cost; Reimbursement; Evidence-based health care; Health technology assessment; Immunosuppression |
Subject (DDC): | 360: Social problems and social insurance 617.5: Orthopaedic surgery |
Abstract: | Recently the decision-making committee of the compulsory Swiss accident insurance scheme needed to make a basic decision as to whether to fund hand transplantation under that scheme or not. A Health Technology Assessment was commissioned to inform decision-making and gain experience with applicability of the method. The following were main findings from various domains. Compared with prosthesis fitting, the outcome of hand transplantation is satisfactory for function and sensibility. Complications due to immunosuppression are frequent, sometimes severe and potentially life-shortening. The direct medical costs over the entire life span calculated for a 35-year-old unilaterally amputated base case patient were CHF 528,600 (EUR 438,500) higher than for a prosthesis. There are challenging ethical, legal and organizational issues. The committee decided not to reimburse hand transplantation for ethical reasons. The Health Technology Assessment has been shown to be a useful tool for decision-making in the context of Swiss accident insurance. |
URI: | https://digitalcollection.zhaw.ch/handle/11475/16516 |
Fulltext version: | Published version |
License (according to publishing contract): | Licence according to publishing contract |
Departement: | School of Management and Law |
Organisational Unit: | Winterthur Institute of Health Economics (WIG) |
Appears in collections: | Publikationen School of Management and Law |
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Brügger, U., Plessow, R., Hess, S., Caballero, A., Eichler, K., Meyer, V., & von Wartburg, U. (2014). The health technology assessment of the compulsory accident insurance scheme of hand transplantation in Switzerland. Journal of Hand Surgery (European Volume), 40(9), 914–923. https://doi.org/10.1177/1753193414559463
Brügger, U. et al. (2014) ‘The health technology assessment of the compulsory accident insurance scheme of hand transplantation in Switzerland’, Journal of Hand Surgery (European Volume), 40(9), pp. 914–923. Available at: https://doi.org/10.1177/1753193414559463.
U. Brügger et al., “The health technology assessment of the compulsory accident insurance scheme of hand transplantation in Switzerland,” Journal of Hand Surgery (European Volume), vol. 40, no. 9, pp. 914–923, 2014, doi: 10.1177/1753193414559463.
BRÜGGER, Urs, Rafael PLESSOW, Sascha HESS, Ascension CABALLERO, Klaus EICHLER, Viktor MEYER und Urs VON WARTBURG, 2014. The health technology assessment of the compulsory accident insurance scheme of hand transplantation in Switzerland. Journal of Hand Surgery (European Volume). 2014. Bd. 40, Nr. 9, S. 914–923. DOI 10.1177/1753193414559463
Brügger, Urs, Rafael Plessow, Sascha Hess, Ascension Caballero, Klaus Eichler, Viktor Meyer, and Urs von Wartburg. 2014. “The Health Technology Assessment of the Compulsory Accident Insurance Scheme of Hand Transplantation in Switzerland.” Journal of Hand Surgery (European Volume) 40 (9): 914–23. https://doi.org/10.1177/1753193414559463.
Brügger, Urs, et al. “The Health Technology Assessment of the Compulsory Accident Insurance Scheme of Hand Transplantation in Switzerland.” Journal of Hand Surgery (European Volume), vol. 40, no. 9, 2014, pp. 914–23, https://doi.org/10.1177/1753193414559463.
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