Cost-Effectiveness Analysis of Surgical Management of Stress Urinary Incontinence With Single-Incision Mini-Sling Versus Tension-Free Vaginal Obturator in Spain

Abstract

A509 loss by 94, 76 and 87% respectively. The cost per case avoided would be 165 Euros, and cost per hospitalization avoided would be 1,639 Euros with implementation of universal vaccination. The cost per QALY saved would be 29,452 Euros and 20,453 Euros from the health care and societal perspectives respectively. ConClusions: RV5 is projected to avert substantial number of RGE hospitalizations and office visits in Slovenia and would be considered a cost effective intervention.

Surgical treatments for women with stress urinary incontinence: a systematic review of economic evidence

“…Seven studies were based in the US [14][15][16][17][18][19][20], six in the UK [21][22][23][24][25][26], six in Canada [27][28][29][30][31][32], two in Spain [33,34], one in Australia [35], one in Bosnia and Herzegovina [36], one in Finland [37], one in Italy [38] and one in the Netherlands [39]. Thirteen studies were model-based analyses [14][15][16][17][18][19][20][21][22][23][27][28][29], seven studies were within-trial evaluations [24-26, 30, 31, 37, 38], five were retrospective data analyses [32,33,35,36,40] and one was prospective non-randomised study [34]. Of the model-based studies, eight studies used a Markov model [14,…”

“…Of the model-based studies, eight studies used a Markov model [14,15,17,19,[21][22][23]27] and five used a decision tree [16,18,20,28,29]. Sixteen studies were CUA [14-17, 19-26, 30, 31, 34, 38], four were CEA [28,29,32,37], four were CCA [18,27,35,40], one was a CMA [33] and one was a CBA [36]. Fifteen studies reported a health service perspective [17, 19-22, 24-29, 32-34, 38], two studies reported a societal perspective [14,37], one study reported a third-party payer perspective [16], two studies reported a public payer perspective [30,31] and six studies did not report a perspective [15,18,23,35,36,40].…”

“…One study reported a lifetime time horizon [14], six studies reported a 10-year time horizon [15, 17-19, 21, 22], nine studies reported a 1-year time horizon [16, 20, 24, 28-30, 33, 34, 37], seven studies reported a 2-5 year time horizon [23,25,27,31,32,38,40] and one study did not report a time horizon [35]. [20,22,28,29], and two studies have included single-incision sling [24,33]. Other evaluated surgeries were trad-sling, bladder neck needle, and vaginoplasty by Kelly.…”

“…Of the studies that did establish effectiveness, ten determined effectiveness through a randomised controlled clinical trial [16, 23-26, 29-31, 37, 38] and nine studies established effectiveness through an overview of clinical studies [14, 15, 17-19, 21, 22, 27, 28]. Seven studies used observational data or assumptions to establish effectiveness [20,[32][33][34][35][36]40]. Most of the included studies identified the important and relevant costs and consequences of the alternatives being compared, except for seven studies [14,16,32,33,35,36,40].…”

“…Seven studies used observational data or assumptions to establish effectiveness [20,[32][33][34][35][36]40]. Most of the included studies identified the important and relevant costs and consequences of the alternatives being compared, except for seven studies [14,16,32,33,35,36,40]. Costs and consequences were covered from all relevant viewpoints (community or social viewpoint, and those of patients and third-party payers) in only three studies [14,24,37].…”