Document Detail


Effectiveness of superficial venous surgery in terms of quality-adjusted life years and costs.
MedLine Citation:
PMID:  20218420     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: To assess the impact of superficial venous surgery (SVS) on health-related quality of life (HRQoL) and to explore the cost-utility of venous surgery. MATERIAL AND METHODS: 143 patients (110 female and 33 male) enrolled for SVS between 2003 and 2005 in Helsinki University Central Hospital filled in the 15D survey before and six months after operation. Direct hospital costs were obtained from a patient administration database and were examined from the perspective of secondary care provider. RESULTS: After SVS, the HRQoL score improved in 71% of the patients, and the mean score increased from 0.919 (on a 0-1 scale) preoperatively to 0.933 postoperatively at 6 months (p < 0.001). Patients with a clinically important result from SVS (> or = 0.03 increase in the HRQoL score) had significantly worse HRQoL at baseline. At 6 months postoperatively, the mean (SD) hospital costs were 1637 euros (693) and the mean quality-adjusted life year (QALY) gain 0.504 (1.674), respectively. Thus, the mean cost per QALY gained during a 6-month period was 3248 euros for SVS. CONCLUSIONS: Superficial venous surgery improves HRQoL, and is a cost-effective treatment of symptomatic superficial venous insufficiency.
Authors:
E Eskelinen; P R?s?nen; A Alb?ck; M Lep?ntalo; A Eskelinen; M Peltonen; R P Roine
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Scandinavian journal of surgery : SJS : official organ for the Finnish Surgical Society and the Scandinavian Surgical Society     Volume:  98     ISSN:  1457-4969     ISO Abbreviation:  Scand J Surg     Publication Date:  2009  
Date Detail:
Created Date:  2010-03-11     Completed Date:  2010-05-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101144297     Medline TA:  Scand J Surg     Country:  Finland    
Other Details:
Languages:  eng     Pagination:  229-33     Citation Subset:  IM    
Affiliation:
Helsinki University Central Hospital, Department of Vascular Surgery, Helsinki, Finland. elina.eskelinen@fimnet.fi
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MeSH Terms
Descriptor/Qualifier:
Adult
Cost-Benefit Analysis
Direct Service Costs*
Female
Follow-Up Studies
Health Care Surveys
Hospital Costs*
Humans
Male
Middle Aged
Quality-Adjusted Life Years*
Subcutaneous Tissue / blood supply*
Treatment Outcome
Vascular Surgical Procedures / economics*
Venous Insufficiency / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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