Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-3265
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dc.contributor.authorFobelets, Maaike-
dc.contributor.authorBeeckman, Katrien-
dc.contributor.authorHealy, Patricia-
dc.contributor.authorGrylka, Susanne-
dc.contributor.authorNicoletti, Jane-
dc.contributor.authorDevane, Declan-
dc.contributor.authorGross, Mechthild Maria-
dc.contributor.authorMorano, Sandra-
dc.contributor.authorDaly, Deirdre-
dc.contributor.authorBegley, Cecily-
dc.contributor.authorPutman, Koen-
dc.date.accessioned2019-05-15T13:50:44Z-
dc.date.available2019-05-15T13:50:44Z-
dc.date.issued2019-
dc.identifier.issn1470-0328de_CH
dc.identifier.issn1471-0528de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/17132-
dc.descriptionDer Artikel wurde innerhalb des EU-Projekts OptiBIRTH erstellt.de_CH
dc.descriptionThis is the peer reviewed version of the following article: [Haunberger, S, Rüegger, C, Baumgartner, E. Experiences with a psychosocial screening instrument (S‐FIRST) to identify the psychosocial support needs of parents of children suffering from cancer. Psycho‐Oncology. 2019; 28: 1025‐ 1032.], which has been published in final form at https://doi.org/10.1002/pon.5045. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.de_CH
dc.description.abstractObjective: To perform a health economic analysis of an intervention designed to increase rates of vaginal birth after caesarean, compared with usual care. Design: Economic analysis alongside the cluster-randomised OptiBIRTH trial (Optimising childbirth by increasing vaginal birth after caesarean section (VBAC) through enhanced women-centred care). Setting: Fifteen maternity units in three European countries - Germany (five), Ireland (five), and Italy (five) - with relatively low VBAC rates. Population: Pregnant women with a history of one previous lower-segment caesarean section; sites were randomised (3:2) to intervention or control. Methods: A cost-utility analysis from both societal and health-services perspectives, using a decision tree. Main Outcome Measures: Costs and resource use per woman and infant were compared between the control and intervention group by country, from pregnancy recognition until 3 months postpartum. Based on the caesarean section rates, and maternal and neonatal morbidities and mortality, the incremental cost-utility ratios were calculated per country. Results: The mean difference in costs per quality-adjusted life years (QALYs) gained from a societal perspective between the intervention and the control group, using a probabilistic sensitivity analysis, was: €263 (95% CI €258-268) and 0.008 QALYs (95% CI 0.008-0.009 QALYs) for Germany, €456 (95% CI €448-464) and 0.052 QALYs (95% CI 0.051-0.053 QALYs) for Ireland, and €1174 (95% CI €1170-1178) and 0.006 QALYs (95% CI 0.005-0.007 QALYs) for Italy. The incremental cost-utility ratios were €33,741/QALY for Germany, €8785/QALY for Ireland, and €214,318/QALY for Italy, with a 51% probability of being cost-effective for Germany, 92% for Ireland, and 15% for Italy. Conclusion: The OptiBIRTH intervention was likely to be cost-effective in Ireland and Germany.de_CH
dc.language.isoende_CH
dc.publisherWileyde_CH
dc.relation.ispartofBJOG - International Journal of Obstetrics and Gynaecologyde_CH
dc.rightsLicence according to publishing contractde_CH
dc.subjectCost-effectiveness analysisde_CH
dc.subjectElective repeat caesareande_CH
dc.subjectQuality of lifede_CH
dc.subjectVaginal birth after caesareande_CH
dc.subject.ddc362.1041: Gesundheitsökonomiede_CH
dc.subject.ddc618.4: Geburtde_CH
dc.titleHealth economic analysis of a cluster‐randomised trial (OptiBIRTH) designed to increase rates of vaginal birth after caesarean sectionde_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementGesundheitde_CH
zhaw.organisationalunitInstitut für Hebammen (IHB)de_CH
dc.identifier.doi10.21256/zhaw-3265-
dc.identifier.doi10.1111/1471-0528.15673de_CH
dc.identifier.pmid30957402de_CH
zhaw.funding.euNode_CH
zhaw.originated.zhawYesde_CH
zhaw.publication.statusacceptedVersionde_CH
zhaw.embargo.end2020-05-01de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
Appears in collections:Publikationen Gesundheit

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