Socioeconomic value of orthopedic devices: evidence and methodological challenges

Sorenson, Corinna; Drummond, Mike

doi:10.2147/orr.s32453

Cited by 2 publications

(1 citation statement)

References 37 publications

(110 reference statements)

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“…Therefore, we took advantage of two previously completed systematic reviews of economic evaluations of medical devices in the cardiology and orthopedic sectors, the two most significant markets for therapeutic devices 11. In these reviews, we used the National Health Service Economic Evaluation Database12 for the searches, which contains structured reviews (abstracts) of full economic evaluations of health care treatments and programs.…”

Section: Methodsmentioning

confidence: 99%

Medical technology as a key driver of rising health expenditure: disentangling the relationship

Sorenson¹,

Drummond²,

B³

2013

CEOR

145

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Health care spending has risen steadily in most countries, becoming a concern for decision-makers worldwide. Commentators often point to new medical technology as the key driver for burgeoning expenditures. This paper critically appraises this conjecture, based on an analysis of the existing literature, with the aim of offering a more detailed and considered analysis of this relationship. Several databases were searched to identify relevant literature. Various categories of studies (eg, multivariate and cost-effectiveness analyses) were included to cover different perspectives, methodological approaches, and issues regarding the link between medical technology and costs. Selected articles were reviewed and relevant information was extracted into a standardized template and analyzed for key cross-cutting themes, ie, impact of technology on costs, factors influencing this relationship, and methodological challenges in measuring such linkages. A total of 86 studies were reviewed. The analysis suggests that the relationship between medical technology and spending is complex and often conflicting. Findings were frequently contingent on varying factors, such as the availability of other interventions, patient population, and the methodological approach employed. Moreover, the impact of technology on costs differed across technologies, in that some (eg, cancer drugs, invasive medical devices) had significant financial implications, while others were cost-neutral or cost-saving. In light of these issues, we argue that decision-makers and other commentators should extend their focus beyond costs solely to include consideration of whether medical technology results in better value in health care and broader socioeconomic benefits.

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Section: Methodsmentioning

confidence: 99%

Medical technology as a key driver of rising health expenditure: disentangling the relationship

Sorenson¹,

Drummond²,

B³

2013

CEOR

145

View full text Add to dashboard Cite

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US Perspectives on the EU Medical Device Approval System, and Lessons Learned from the United States

Alt̀enstetter

2013

Eur. j. risk regul.

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The literature on the regulation of drugs at the FDA and the European Union is substantial, yet little research has provided comparative analyses and robust empirical data on the regulation of medical devices in the United States and the European Union. As medical and health markets become increasingly globalized, and the U.S. and the EU compete for leadership and recognition, salient domestic regulatory issues are becoming increasingly international and transnational policy issues. Building on Carpenter's (2010) work on drug regulation at the FDA, but taking a slightly narrower yet at the same time a broader approach by drawing on interdisciplinary studies instead of limiting ourselves to only the Political Science literature, this comparison focuses on key aspects of risk regulation and governance of medical devices in the U.S. and the EU, and shows how and why individual and organizational learning is imperative in each case.

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Socioeconomic value of orthopedic devices: evidence and methodological challenges

Cited by 2 publications

References 37 publications

Medical technology as a key driver of rising health expenditure: disentangling the relationship

Medical technology as a key driver of rising health expenditure: disentangling the relationship

US Perspectives on the EU Medical Device Approval System, and Lessons Learned from the United States

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