Cost-effectiveness of bone-anchored prostheses using osseointegrated fixation: Myth or reality?

Laurent Frossard; Gregory Merlo; Brendan J Burkett; Tanya Quincey; Debra Berg

doi:10.1177/0309364617740239

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Cost-effectiveness of bone-anchored prostheses using osseointegrated fixation: Myth or reality?

Journal article

Peer reviewed

Cost-effectiveness of bone-anchored prostheses using osseointegrated fixation: Myth or reality?

Laurent Frossard, Gregory Merlo, Brendan J Burkett, Tanya Quincey and Debra Berg

Prosthetics and Orthotics International, Vol.42(3), pp.318-327

2018

DOI: https://doi.org/10.1177/0309364617740239

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Abstract

amputation

bone-anchored prosthesis

cost-effectiveness

cost-utility

osseointegration

prosthesis

Background: In principle, lower limb bone-anchored prostheses could alleviate expenditure associated with typical socket manufacturing and residuum treatments due to socket-suspended prostheses. Objective:This study reports (a) the incremental costs and (b) heath gain as well as © cost-effectiveness of bone-anchored prostheses compared to socket-suspended prostheses. Study design: Retrospective individual case-controlled observations and systematic review. Methods: Actual costs were extracted from financial records and completed by typical costs when needed over 6-year time horizon for a cohort of 16 individuals. Health gains corresponding to quality-adjusted life-year were calculated using health-related quality-of-life data presented in the literature. Results: The provision of bone-anchored prostheses costed 21%±41% more but increased quality-adjusted life-years by 17%±5% compared to socket-suspended prostheses. The incremental cost-effectiveness ratio ranged between -$25,700 per quality-adjusted life-year and $53,500 per quality-adjusted life-year with indicative incremental cost-effectiveness ratio of approximately $17,000 per quality-adjusted life-year. Bone-anchored prosthesis was cost-saving and cost-effective for 19% and 88% of the participants, respectively. Conclusion: This study indicated that bone-anchored prostheses might be an acceptable alternative to socket-suspended prostheses at least from a prosthetic care perspective in Australian context. Altogether, this initial evidence-based economic evaluation provided a working approach for decision makers responsible for policies around care of individuals with lower limb amputation worldwide.

Details

Title: Cost-effectiveness of bone-anchored prostheses using osseointegrated fixation: Myth or reality?
Authors: Laurent Frossard (Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and Engineering
Gregory Merlo (Author) - Queensland University of Technology
Brendan J Burkett (Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and Engineering
Tanya Quincey (Author) - Queensland Artificial Limb Service
Debra Berg (Author) - Queensland Artificial Limb Service
Publication details: Prosthetics and Orthotics International, Vol.42(3), pp.318-327
Publisher: Sage Publications Ltd.
Date published: 2018
DOI: 10.1177/0309364617740239
ISSN: 0309-3646
Organisation Unit: University of the Sunshine Coast, Queensland; School of Health and Sport Sciences - Legacy; School of Health - Sports & Exercise Science; School of Health and Behavioural Sciences - Legacy
Language: English
Record Identifier: 99450682202621
Output Type: Journal article

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Collaboration types: Domestic collaboration
Web Of Science research areas: Orthopedics; Rehabilitation

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