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
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.
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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