دورية أكاديمية
Cost-effectiveness of a hybrid emergency room system for severe trauma: a health technology assessment from the perspective of the third-party payer in Japan
| العنوان: | Cost-effectiveness of a hybrid emergency room system for severe trauma: a health technology assessment from the perspective of the third-party payer in Japan |
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| المؤلفون: | Kinoshita, T. (Takahiro), Moriwaki, K. (Kensuke), Hanaki, N. (Nao), Kitamura, T. (Tetsuhisa), Yamakawa, K. (Kazuma), Fukuda, T. (Takashi), Hunink, M.G.M. (Myriam), Fujimi, S. (Satoshi) |
| المصدر: | World Journal of Emergency Surgery vol. 16 no. 1 |
| سنة النشر: | 2021 |
| المجموعة: | RePub - Publications from Erasmus University, Rotterdam |
| مصطلحات موضوعية: | HERS, ICER, Markov model, QALY, Utility |
| الوصف: | Background: Hybrid emergency room (ER) systems, consisting of an angiography-computed tomography (CT) machine in a trauma resuscitation room, are reported to be effective for reducing death from exsanguination in trauma patients. We aimed to investigate the cost-effectiveness of a hybrid ER system in severe trauma patients without severe traumatic brain injury (TBI). Methods: We conducted a cost-utility analysis comparing the hybrid ER system to the conventional ER system from the perspective of the third-party healthcare payer in Japan. A short-term decision tree and a long-term Markov model using a lifetime time horizon were constructed to estimate quality-adjusted life years (QALYs) and associated lifetime healthcare costs. Short-term mortality and healthcare costs were derived from medical records and claims data in a tertiary care hospital with a hybrid ER. Long-term mortality and utilities were extrapolated from the literature. The willingness-to-pay threshold was set at $47,619 per QALY gained and the discount rate was 2%. Deterministic and probabilistic sensitivity analyses were conducted. Results: The hybrid ER system was associated with a gain of 1.03 QALYs and an increment of $33,591 lifetime costs compared to the conventional ER system, resulting in an ICER of $32,522 per QALY gained. The ICER was lower than the willingness-to-pay threshold if the odds ratio of 28-day mortality was < 0.66. Probabilistic sensitivity analysis indicated that the hybrid ER system was cost-effective with a 79.3% probability. Conclusion: The present study suggested that the hybrid |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| العلاقة: | http://repub.eur.nl/pub/133190Test; urn:hdl:1765/133190 |
| DOI: | 10.1186/s13017-020-00344-x |
| الإتاحة: | https://doi.org/10.1186/s13017-020-00344-xTest http://repub.eur.nl/pub/133190Test |
| حقوق: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.DD7EAF45 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1186/s13017-020-00344-x |
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