Rotator Cuff Suture Repair: Insights into Cost-Effectiveness and Patient Clinical Outcome

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F68407700%3A21460%2F24%3A00381664" target="_blank" >RIV/68407700:21460/24:00381664 - isvavai.cz</a>

Výsledek na webu

<a href="https://doi.org/10.1109/EHB64556.2024.10805644" target="_blank" >https://doi.org/10.1109/EHB64556.2024.10805644</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1109/EHB64556.2024.10805644" target="_blank" >10.1109/EHB64556.2024.10805644</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Rotator Cuff Suture Repair: Insights into Cost-Effectiveness and Patient Clinical Outcome

Popis výsledku v původním jazyce

Rotator cuff tear is a common shoulder injury, often linked to aging and degenerative processes. The best treatment approach remains unclear. This paper compares two arthroscopic tendon suture techniques: single-row and double-row sutures, focusing on their cost-effectiveness. A decision tree model was used to perform a cost-effectiveness analysis from the healthcare payer's perspective, utilizing costs based on the CZ-DRG system. Effects were measured using ASES scores for two patient subgroups (tear <3 cm and >3 cm), To evaluate the robustness of the results, a sensitivity analysis was performed. Two scenarios were evaluated, with incremental cost-effectiveness ratios ranging from 755 to 1,352 CZK per ASES point. Double-row sutures increased costs by 5325-7,164 CZK but improved ASES scores by 5.30 points (tear <3 cm) and 7.05 points (tear >3 cm), The results showed that double-row sutures were more effective but also more expensive, particularly for larger tears. However, their acceptance depends on the willingness-to-pay threshold, which has not been set for ASES scores in the Czech Republic.

Název v anglickém jazyce

Rotator Cuff Suture Repair: Insights into Cost-Effectiveness and Patient Clinical Outcome

Popis výsledku anglicky

Rotator cuff tear is a common shoulder injury, often linked to aging and degenerative processes. The best treatment approach remains unclear. This paper compares two arthroscopic tendon suture techniques: single-row and double-row sutures, focusing on their cost-effectiveness. A decision tree model was used to perform a cost-effectiveness analysis from the healthcare payer's perspective, utilizing costs based on the CZ-DRG system. Effects were measured using ASES scores for two patient subgroups (tear <3 cm and >3 cm), To evaluate the robustness of the results, a sensitivity analysis was performed. Two scenarios were evaluated, with incremental cost-effectiveness ratios ranging from 755 to 1,352 CZK per ASES point. Double-row sutures increased costs by 5325-7,164 CZK but improved ASES scores by 5.30 points (tear <3 cm) and 7.05 points (tear >3 cm), The results showed that double-row sutures were more effective but also more expensive, particularly for larger tears. However, their acceptance depends on the willingness-to-pay threshold, which has not been set for ASES scores in the Czech Republic.

Druh

D - Stať ve sborníku

CEP obor

—

OECD FORD obor

50602 - Public administration

Projekt

—

Návaznosti

S - Specificky vyzkum na vysokych skolach

Rok uplatnění

2024

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název statě ve sborníku

2024 E-Health and Bioengineering Conference (EHB)

ISBN

979-8-3315-3214-7

ISSN

2575-5137

e-ISSN

2575-5145

Počet stran výsledku

4

Strana od-do

453-456

Název nakladatele

IEEE Xplore

Místo vydání

—

Místo konání akce

Iasi

Datum konání akce

14. 11. 2024

Typ akce podle státní příslušnosti

WRD - Celosvětová akce

Kód UT WoS článku

001413708800108