Systematic Review of Economic Evaluations in Plastic Surgery

Ziolkowski, Natalia; Voineskos, Sophocles H.; Ignacy, Teegan A.; Thoma, Achilleas

doi:10.1097/prs.0b013e318290f8f8

Cited by 27 publications

(17 citation statements)

References 95 publications

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“…This invites the opportunity to compare these two treatment options using the study of cost-utility. Cost-utility analysis considers costs, probabilities, and utilities of various health outcomes (health states) as a means to evaluate competing interventions [6]- [14].…”

Section: Both Sl and Lvos Have Variable Clinical Outcomes And Costs mentioning

confidence: 99%

A Cost-Utility Analysis Comparing Oncoplastic Breast Surgery to Standard Lumpectomy in Large Breasted Women

Chatterjee¹,

Offodile²,

Asban³

et al. 2018

ABCR

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Purpose: Ablative options, beyond mastectomy, for large breasted patients with breast cancer include oncoplastic resection via reduction pattern and standard lumpectomy. Oncoplastic resection also entails a contralateral procedure for symmetry and the potential benefit of a superior cosmetic outcome. Our aim was to examine the cost-effectiveness of this treatment strategy comparing it to standard lumpectomy in treating breast cancer patients. Methods: A literature review was performed of the probabilities and outcomes related to treatment of unilateral breast cancer via oncoplastic resection or unilateral lumpectomy. Utility score surveys were used to estimate the quality adjusted life years (QALYs) associated with a successful procedure, additional margins excision and post-operative complications. A decision analysis tree was developed to highlight the more cost-effective strategy. An Incremental Cost-Utility Ratio (ICUR) was calculated. Sensitivity analysis was performed to check the robustness of our data. Results: Oncoplastic resection was associated with fewer positive margins relative to standard lumpectomy (10.0% versus 18%). In cases with positive margins, a greater percentage of oncoplastic resection patients chose a mastectomy compared to the lumpectomy patients (72% versus 19%). Utility scores for a successful operation favored oncoplastic resection (92.6 versus 86.

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Section: Both Sl and Lvos Have Variable Clinical Outcomes And Costs mentioning

confidence: 99%

A Cost-Utility Analysis Comparing Oncoplastic Breast Surgery to Standard Lumpectomy in Large Breasted Women

Chatterjee¹,

Offodile²,

Asban³

et al. 2018

ABCR

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“…This depicts a broad spectrum of economic evaluation methodologies from cost-benefit analysis, generally considered the form of economic evaluation that is most comprehensive in scope, to the narrower forms of evaluation including simple cost-analyses. The search strategy was adapted from previously published systematic reviews of economic evaluations [13],[14]. Studies were required to report on either the cost impacts of the intervention of interest or some measure of cost-benefit to be included in the study.…”

Section: Methodsmentioning

confidence: 99%

Global Systematic Review of the Cost-Effectiveness of Indigenous Health Interventions

et al. 2014

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BackgroundIndigenous populations around the world have consistently been shown to bear a greater burden of disease, death and disability than their non-Indigenous counterparts. Despite this, little is known about what constitutes cost-effective interventions in these groups. The objective of this paper was to assess the global cost-effectiveness literature in Indigenous health to identify characteristics of successful and unsuccessful interventions and highlight areas for further research.Methods and FindingsA systematic review of the published literature was carried out. MEDLINE, PSYCINFO, ECONLIT, EMBASE and CINAHL were searched with terms to identify cost-effectiveness evaluations of interventions in Indigenous populations around the world. The WHO definition was followed in identifying Indigenous populations. 19 studies reporting on 27 interventions were included in the review. The majority of studies came from high-income nations with only two studies of interventions in low and middle-income nations. 22 of the 27 interventions included in the analysis were found to be cost-effective or cost-saving by the respective studies. There were only two studies that focused on Indigenous communities in urban areas, neither of which was found to be cost-effective. There was little attention paid to Indigenous conceptions of health in included studies. Of the 27 included studies, 23 were interventions that specifically targeted Indigenous populations. Outreach programs were shown to be consistently cost-effective.ConclusionThe comprehensive review found only a small number of studies examining the cost-effectiveness of interventions into Indigenous communities around the world. Given the persistent disparities in health outcomes faced by these populations and commitments from governments around the world to improving these outcomes, it is an area where the health economics and public health fields can play an important role in improving the health of millions of people.

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“…They are, however, commonly used in other sectors of society such as education and transportation. A recent systematic review by Ziolkowski et al (21) identified 92 articles published between 1986 and 2011 that compared two plastic surgery interventions and included an economic evaluation as a component of their publication. The economic evaluations in these 92 articles were comprised of 73 cost analyses, 12 cost-effectiveness analyses, six cost-utility analyses and one cost-benefit analysis.…”

Section: Types Of Economic Evaluationsmentioning

confidence: 99%

The performance and publication of cost-utility analyses in plastic surgery: Making our specialty relevant

Thoma¹,

Ignacy²

2012

J Plastic Surgery

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Systematic Review of Economic Evaluations in Plastic Surgery

Cited by 27 publications

References 95 publications

A Cost-Utility Analysis Comparing Oncoplastic Breast Surgery to Standard Lumpectomy in Large Breasted Women

A Cost-Utility Analysis Comparing Oncoplastic Breast Surgery to Standard Lumpectomy in Large Breasted Women

Global Systematic Review of the Cost-Effectiveness of Indigenous Health Interventions

The performance and publication of cost-utility analyses in plastic surgery: Making our specialty relevant

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