| Publikationstyp: | Konferenz: Poster |
| Art der Begutachtung: | Peer review (Abstract) |
| Titel: | Dynamic intraligamentary stabilisation for the treatment of the anterior cruciate ligament rupture : a health technology assessment for Switzerland |
| Autor/-in: | Hess, Sascha Brunner, Beatrice Mattli, Renato Brügger, Urs Eichler, Klaus |
| Angaben zur Konferenz: | 12th Health Technology Assessment international HTAi Annual Meeting, Oslo, Norway, 13-17 June 2015 |
| Erscheinungsdatum: | 2015 |
| Sprache: | Englisch |
| Fachgebiet (DDC): | 362: Gesundheits- und Sozialdienste |
| Zusammenfassung: | Background: In addition to current standard therapies (primary operative ACL reconstruction [pOP], primary conservative treatment with possible delayed ACL repair [pKONS]), a new therapeutic option (dynamic intraligamentary stabilisation [DIS]) has emerged. Objectives: To assess patient benefits and costs of DIS compared to standard therapies (pOP, pKONS) in Switzerland. Methods: A decision tree was developed to analyse cost-effectiveness over two time horizons (2 and 15 years). We performed a literature search for effectiveness and safety outcomes in electronic databases. Effectiveness data were pooled with meta-analysis, where suitable. Direct medical costs and productivity losses were calculated in Swiss Francs (year 2012) using clinical expert information and administrative databases. Results: DIS showed to be at least as effective as the comparators. The ratio of patients at 2 years with equivalent sports level as pre-injury was 49% (95%-CI: 36%-66%) for DIS, 39% (18%-82%) for pOP and 36% (26%-51%) for pKONS. The frequency of safety events was similar for the three strategies. Total costs at 2 years were 21’700 CHF for DIS, 26’000 CHF for pOP and 17’000 CHF for pKONS. Sensitivity analyses did not lead to significantly different conclusions. Conclusions: DIS has the potential to be a valuable treatment option for ACL rupture. However, data is scarce and studies with rigorous design and longer follow-up should be performed. |
| URI: | https://digitalcollection.zhaw.ch/handle/11475/17001 |
| Volltext Version: | Publizierte Version |
| Lizenz (gemäss Verlagsvertrag): | Lizenz gemäss Verlagsvertrag |
| Departement: | School of Management and Law |
| Organisationseinheit: | Winterthurer Institut für Gesundheitsökonomie (WIG) |
| Enthalten in den Sammlungen: | Publikationen School of Management and Law |
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Hess, S., Brunner, B., Mattli, R., Brügger, U., & Eichler, K. (2015). Dynamic intraligamentary stabilisation for the treatment of the anterior cruciate ligament rupture : a health technology assessment for Switzerland. 12th Health Technology Assessment International HTAi Annual Meeting, Oslo, Norway, 13-17 June 2015.
Hess, S. et al. (2015) ‘Dynamic intraligamentary stabilisation for the treatment of the anterior cruciate ligament rupture : a health technology assessment for Switzerland’, in 12th Health Technology Assessment international HTAi Annual Meeting, Oslo, Norway, 13-17 June 2015.
S. Hess, B. Brunner, R. Mattli, U. Brügger, and K. Eichler, “Dynamic intraligamentary stabilisation for the treatment of the anterior cruciate ligament rupture : a health technology assessment for Switzerland,” in 12th Health Technology Assessment international HTAi Annual Meeting, Oslo, Norway, 13-17 June 2015, 2015.
HESS, Sascha, Beatrice BRUNNER, Renato MATTLI, Urs BRÜGGER und Klaus EICHLER, 2015. Dynamic intraligamentary stabilisation for the treatment of the anterior cruciate ligament rupture : a health technology assessment for Switzerland. In: 12th Health Technology Assessment international HTAi Annual Meeting, Oslo, Norway, 13-17 June 2015. Conference poster. 2015
Hess, Sascha, Beatrice Brunner, Renato Mattli, Urs Brügger, and Klaus Eichler. 2015. “Dynamic Intraligamentary Stabilisation for the Treatment of the Anterior Cruciate Ligament Rupture : A Health Technology Assessment for Switzerland.” Conference poster. In 12th Health Technology Assessment International HTAi Annual Meeting, Oslo, Norway, 13-17 June 2015.
Hess, Sascha, et al. “Dynamic Intraligamentary Stabilisation for the Treatment of the Anterior Cruciate Ligament Rupture : A Health Technology Assessment for Switzerland.” 12th Health Technology Assessment International HTAi Annual Meeting, Oslo, Norway, 13-17 June 2015, 2015.
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