Cost-effectiveness analysis of the treatment with compressive therapy in the healing of venous ulcers

OBJECTIVEto analyze the cost-effectiveness and calculate the incremental cost-effectiveness ratio of multilayer compressive treatment in relation to inelastic (Unna boot and short stretch) therapy according to the current literature.METHODquantitative study about cost-effectiveness through modeling...

Full description

Saved in:
Bibliographic Details
Published in:Revista latino-americana de enfermagem 2023-03, Vol.31, p.e3839-e3839
Main Authors: Sodré, Sarah Lopes Silva, Nogueira, Glycia de Almeida, Abreu, Alcione Matos de, Marta, Cristiano Bertolossi, Peregrino, Antônio Augusto de Freitas, Silva, Roberto Carlos Lyra da
Format: Article
Language:eng ; por ; spa
Subjects:
Artículo Original
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:OBJECTIVEto analyze the cost-effectiveness and calculate the incremental cost-effectiveness ratio of multilayer compressive treatment in relation to inelastic (Unna boot and short stretch) therapy according to the current literature.METHODquantitative study about cost-effectiveness through modeling with the aid of TreeAge® software for construction of the decision tree. The anticipated assumptions were obtained by using secondary literature data to estimate the cost and effectiveness of the assumed parameters. A systematic literature review with meta-analysis was performed for this end.RESULTSthe decision tree after Roll Back showed that the multilayer therapy dominated the alternatives in the base case, representing an intermediate cost per application, although with the highest effectiveness. The cost-effectiveness analysis graph also showed extended dominance of the Unna boot in relation to the short stretch bandage. The sensitivity analysis showed that multilayer bandage remains a more cost-effective alternative, within the threshold of willingness to pay.CONCLUSIONthe most cost-effective alternative was multilayer bandage, considered the gold standard in the literature. The second most cost-effective alternative was the Unna boot, the most used therapy in Brazil.
ISSN:0104-1169
1518-8345
DOI:10.1590/1518-8345.6017-3839