Cost-Effectiveness Analysis of Total Hip Arthroplasty Performed by a Canadian Short-Stay Surgical Team in Ecuador
Joint Authors
Rashiq, Saifudin
Schlegelmilch, Michael
Moreau, Barbara
Jarrín, Patricia
Tran, Bach
Chuck, Anderson
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-12-18
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
Few charitable overseas surgical missions produce cost-effectiveness analyses of their work.
Methods.
We compared the pre- and postoperative health status for 157 total hip arthroplasty (THA) patients operated on from 2007 to 2011 attended by an annual Canadian orthopedic mission to Ecuador to determine the quality-adjusted life years (QALYs) gained.
The costs of each mission are known.
The cost per surgery was divided by the average lifetime QALYs gained to estimate an incremental cost-effectiveness ratio (ICER) in Canadian dollars per QALY.
Results.
The average lifetime QALYs (95% CI) gained were 1.46 (1.4–1.5), 2.5 (2.4–2.6), and 2.9 (2.7–3.1) for unilateral, bilateral, and staged (two THAs in different years) operations, respectively.
The ICERs were $4,442 for unilateral, $2,939 for bilateral, and $4392 for staged procedures.
Seventy percent of the mission budget was spent on the transport and accommodation of volunteers.
Conclusion.
THA by a Canadian short-stay surgical team was highly cost-effective, according to criteria from the National Institute for Health and Care Excellence and the World Health Organization.
We encourage other international missions to provide similar cost-effectiveness data to enable better comparison between mission types and between mission and nonmission care.
American Psychological Association (APA)
Schlegelmilch, Michael& Rashiq, Saifudin& Moreau, Barbara& Jarrín, Patricia& Tran, Bach& Chuck, Anderson. 2017. Cost-Effectiveness Analysis of Total Hip Arthroplasty Performed by a Canadian Short-Stay Surgical Team in Ecuador. Advances in Orthopedics،Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1125255
Modern Language Association (MLA)
Schlegelmilch, Michael…[et al.]. Cost-Effectiveness Analysis of Total Hip Arthroplasty Performed by a Canadian Short-Stay Surgical Team in Ecuador. Advances in Orthopedics No. 2017 (2017), pp.1-7.
https://search.emarefa.net/detail/BIM-1125255
American Medical Association (AMA)
Schlegelmilch, Michael& Rashiq, Saifudin& Moreau, Barbara& Jarrín, Patricia& Tran, Bach& Chuck, Anderson. Cost-Effectiveness Analysis of Total Hip Arthroplasty Performed by a Canadian Short-Stay Surgical Team in Ecuador. Advances in Orthopedics. 2017. Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1125255
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1125255