Cost‐Effectiveness of Ingunial Hernia Surgery in Northwestern Ecuador

Shillcutt, Samuel D.; Sanders, David; Butrón-Vila, M. Teresa; Kingsnorth, Andrew

doi:10.1007/s00268-012-1808-5

Cited by 41 publications

(41 citation statements)

References 62 publications

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“…All other interventions had a moderate or low strength of evidence. Disability weights for pediatric surgical conditions identified from the GBD studies [7, 8] and others [20, 38, 72, 97] ranged from 0.005 for finger amputation, to 0.850 for posterior sagittal anorectoplasty (Table 2). …”

Section: Resultsmentioning

confidence: 99%

Economic Analysis of Children’s Surgical Care in Low- and Middle-Income Countries: A Systematic Review and Analysis

et al. 2016

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BackgroundUnderstanding the economic value of health interventions is essential for policy makers to make informed resource allocation decisions. The objective of this systematic review was to summarize available information on the economic impact of children’s surgical care in low- and middle-income countries (LMICs).MethodsWe searched MEDLINE (Pubmed), Embase, and Web of Science for relevant articles published between Jan. 1996 and Jan. 2015. We summarized reported cost information for individual interventions by country, including all costs, disability weights, health outcome measurements (most commonly disability-adjusted life years [DALYs] averted) and cost-effectiveness ratios (CERs). We calculated median CER as well as societal economic benefits (using a human capital approach) by procedure group across all studies. The methodological quality of each article was assessed using the Drummond checklist and the overall quality of evidence was summarized using a scale adapted from the Agency for Healthcare Research and Quality.FindingsWe identified 86 articles that met inclusion criteria, spanning 36 groups of surgical interventions. The procedure group with the lowest median CER was inguinal hernia repair ($15/DALY). The procedure group with the highest median societal economic benefit was neurosurgical procedures ($58,977). We found a wide range of study quality, with only 35% of studies having a Drummond score ≥ 7.InterpretationOur findings show that many areas of children’s surgical care are extremely cost-effective in LMICs, provide substantial societal benefits, and are an appropriate target for enhanced investment. Several areas, including inguinal hernia repair, trichiasis surgery, cleft lip and palate repair, circumcision, congenital heart surgery and orthopedic procedures, should be considered “Essential Pediatric Surgical Procedures” as they offer considerable economic value. However, there are major gaps in existing research quality and methodology which limit our current understanding of the economic value of surgical care.

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Section: Resultsmentioning

confidence: 99%

Economic Analysis of Children’s Surgical Care in Low- and Middle-Income Countries: A Systematic Review and Analysis

et al. 2016

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“…[19][20][21][22][23] Previous studies on the use of mosquito mesh in groin hernia repair have shown promising results with respect to tissue reaction, outcome, and cost-effectiveness. 19,[21][22][23][24][25][26] However, data from randomized trials are lacking to inform the safety and long-term effectiveness of this practice. The aim of the current randomized trial was to assess the outcomes of groin hernia repair performed with the use of a low-cost lightweight mesh as compared with a commercial lightweight mesh in a low-income country in sub-Saharan Africa.…”

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confidence: 99%

A Randomized Trial of Low-Cost Mesh in Groin Hernia Repair

et al. 2016

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“…The recently published studies on the cost-effectiveness of hernia repair in disadvantaged countries [15,24,27,34] may represent a solution for the health policy of these countries when choosing the most costeffective procedure for hernia repair.…”

Section: Discussionmentioning

confidence: 99%

“…Western Pacific 258 37 15 22 Disease control priorities in developing countries. 2nd edition [34] World J Surg…”

Section: Discussionmentioning

confidence: 99%

The Usefulness of International Cooperation in the Repair of Inguinal Hernias in Sub‐Saharan Africa

et al. 2015

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Cost‐Effectiveness of Ingunial Hernia Surgery in Northwestern Ecuador

Abstract: Inguinal hernia repair was cost-effective in western Ecuador through international collaboration.

Cited by 41 publications

References 62 publications

Economic Analysis of Children’s Surgical Care in Low- and Middle-Income Countries: A Systematic Review and Analysis

Economic Analysis of Children’s Surgical Care in Low- and Middle-Income Countries: A Systematic Review and Analysis

A Randomized Trial of Low-Cost Mesh in Groin Hernia Repair

The Usefulness of International Cooperation in the Repair of Inguinal Hernias in Sub‐Saharan Africa

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