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A preliminary cost-utility analysis of the prosthetic care innovations Case of the keep walking implant691.29 kB
Published VersionCC BY V4.0, Open Access
Journal article
A preliminary cost-utility analysis of the prosthetic care innovations: Case of the keep walking implant
Canadian Prosthetics & Orthotics Journal, Vol.4(2), pp.1-16
2021
Abstract
Several obstacles must be overcome before preliminary cost-utility analyses (CUA) of prosthetic care innovations can be routinely performed. The basic framework of preliminary CUAs and hands-on recommendations suggested previously might contribute to wider adoption. However, a practical application for an emerging intervention is needed to showcase the capacity of this proposed preliminary CUA framework. This study presented the outcomes of preliminary CUA of the distal weight bearing Keep Walking Implant (KWI), an emerging prosthetic care innovation that may reduce socket fittings for individuals with transfemoral amputation. The preliminary CUAs compared the provision of prosthetic care without (usual intervention) and with the KWI (new intervention) using a 15-step iterative process focused on feasibility, constructs, analysis, and interpretations of outcomes from an Australia government prosthetic care perspective over a six-year time horizon. Baseline and incremental costs were extracted from schedules of allowable expenses. Baseline utilities were extracted from a study and converted into quality-adjusted life-year (QALY). Incremental utilities were calculated based on sensible gains of QALY from baselines. The provision of the prosthetic care with the KWI could generate an indicative incremental cost-utility ratio (ICUR) of -$36,890 per QALY, which was $76,890 per QALY below willingness-to-pay threshold, provided that the KWI reduces costs by $17,910 while increasing utility by 0.485 QALY compared to usual interventions. This preliminary CUA provided administrators of healthcare organizations in Australia and elsewhere with prerequisite evidence justifying further access to market and clinical introduction of the KWI. Altogether, this work suggests that the basic framework of the preliminary CUA of a prosthetic care innovation proposed previously is feasible and informative when a series of assumptions are carefully considered. This study further confirms that preliminary CUAs prosthetic care interventions might be a relevant alternative to full CUA for other medical treatments.
Details
- Title
- A preliminary cost-utility analysis of the prosthetic care innovations: Case of the keep walking implant
- Authors
- Lluis Guirao (Author) - Servicio de Rehabilitaión - Hospital Asepeyo Sant Cugat, Barcelona, SpainBeatriz Samitier (Author) - Servicio de Rehabilitaión - Hospital Asepeyo Sant Cugat, Barcelona, SpainLaurent Frossard (Author) - University of the Sunshine Coast, Queensland, School of Health and Behavioural Sciences - Legacy
- Publication details
- Canadian Prosthetics & Orthotics Journal, Vol.4(2), pp.1-16
- Publisher
- Canadian Online Publication Group
- Date published
- 2021
- DOI
- 10.33137/cpoj.v4i2.36366
- 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
- 99578807802621
- Output Type
- Journal article
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