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Journal article
A preliminary cost-utility analysis of the prosthetic care innovations: basic framework
Canadian Prosthetics & Orthotics Journal, Vol.4(2, No. 10), pp.1-13
2021
Abstract
A preliminary cost-utility analysis (CUA) of prosthetic care innovations can provide timely information during the early stage of product development and clinical usage. Concepts of preliminary CUAs are emerging. However, several obstacles must be overcome before these analyses are performed routinely. Disparities of methods and high uncertainty make the outcomes of usual preliminary CUAs challenging to interpret, appraise and share. These shortcomings create opportunities for a basic framework of preliminary CUAs. First, I introduced a basic framework of a preliminary CUA built around a series of constructs and hands-on recommendations. Then, I appraised this framework considering the strengths and weaknesses, barriers and facilitators, and return on investment. The design of the basic framework was determined through the review of health economic and prosthetic-specific literature. A preliminary CUA comparing the costs and utilities between usual intervention and an innovation could be achieved through a 15-step iterative process focusing on feasibility, constructs, analysis, and interpretation of outcomes. This CUA provides sufficient evidence to identify knowledge gaps and improvement areas, educate about the design of subsequent full CUAs, and obtain fast-track approval from governing bodies. Like previous CUAs, the main limitations were inherent to the constructs (e.g., narrow perspective, plausible scenarios, mid-term time horizon, substantial assumptions, data mismatch, high uncertainty). Key facilitators potentially transferable across preliminary CUAs of prosthetic care innovations included choosing abided constructs, capitalizing on prior schedules of expenses, and benchmarking baseline or incremental utilities. This new approach with preliminary CUA can simplify the selection of methods, standardize outcomes, ease comparisons between innovations, and streamline pathways for adoption. Further collegial efforts toward validating standard preliminary CUAs will facilitate access to economic prosthetic care innovations, improving the lives of individuals suffering from limb loss worldwide. Article PDF Link: https://jps.library.utoronto.ca/index.php/cpoj/article/view/36365/28328 How To Cite: Frossard L. A preliminary cost-utility analysis of the prosthetic care innovations: basic framework. Canadian Prosthetics & Orthotics Journal. 2021; Volume 4, Issue 2, No.10. https://doi.org/10.33137/cpoj.v4i2.36365 Corresponding Author: Laurent Frossard (PhD), Professor of Bionics YourResearchProject Pty Ltd, Brisbane, Australia. E-Mail: laurentfrossard@outlook.com ORCID number: https://orcid.org/0000-0002-0248-9589
Details
- Title
- A preliminary cost-utility analysis of the prosthetic care innovations: basic framework
- Authors
- Laurent Frossard (Author) - University of the Sunshine Coast, Queensland, School of Health and Behavioural Sciences - Legacy
- Publication details
- Canadian Prosthetics & Orthotics Journal, Vol.4(2, No. 10), pp.1-13
- Publisher
- Canadian Online Publication Group
- Date published
- 2021
- DOI
- 10.33137/cpoj.v4i2.36365
- ISSN
- 2561-987X
- Copyright note
- This work is licensed under a Creative Commons Attribution 4.0 International License. All articles are permanently available online to the public without restrictions or subscription fees. All articles are free to be used, cited, and distributed, on condition that appropriate acknowledgment is included. Authors are the copyright holders of their original contributions. The published article is simultaneously licensed under a Creative Commons (CC) Attribution License. “A CC license is used when an author wants to give people the right to share, use, and build upon a work that they have created” Wikipedia.
- Organisation Unit
- University of the Sunshine Coast, Queensland; School of Health and Behavioural Sciences - Legacy
- Language
- English
- Record Identifier
- 99578807602621
- Output Type
- Journal article
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