Abstract:The objective of this study was to evaluate and compare the cost and effects on quality of life [using quality-adjusted life years (QALYs)] of 2 treatments for sciatica secondary to lumbar disc herniation: chemonucleolysis and surgical discectomy. The design involved a combination of decision analysis and Rosser index, with assessment of probabilities from long term clinical series. Utility was based on patients' subjective assessment using a simplified self-administered Health Measurement Questionnaire (HMQ).… Show more
“…Four of them included economical evaluations [28][29][30][31] and 20 used proxy measures [32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47][48][49][50][51]. Eight were randomized controlled trials (RCTs) and 16 were non-randomized comparison studies.…”
Section: Description Of Resultsmentioning
confidence: 99%
“…Eleven studies compared CD to CNL [29][30][31][32]36,37,41,42,[49][50][51]. The outcome measures used were length of hospitalization in six studies [30][31][32]36,37,42], length of sick leave in four studies [43,48,50,51], disability in two studies 37,48 , and cost of intervention in five studies [29][30][31]42,43].…”
Section: Description Of Resultsmentioning
confidence: 99%
“…However, all four studies favored the control intervention over CD. The results of the economic evaluations are described in the following section, listed in descending order of quality score: Launois, et al [31], Dullerud, et al [28], Ramirez & Javid [30] and Javid [29].…”
Section: Results Of the Cost-effectiveness Studiesmentioning
confidence: 99%
“…Eleven studies originated from the USA [29,30,32,33,38,39,41,43,4 6,47,51], twelve from Europe [28,31,[34][35][36][37]39,42,44,45,49,50] and one from Canada [48].…”
Section: Questionmentioning
confidence: 99%
“…Launois, et al [31] considered all the direct costs of each alternative intervention using decision modeling to estimate quality of life and calculate the amount of saved QALYs. Furthermore, the authors calculated the costs of each probable outcome and the 7-year follow-up strengthens the quality further.…”
Background: The current study reviews the literature on the cost-effectiveness of conventional diskectomy compared to other surgical techniques, by assessing studies with economical evaluation and studies using proxy measures of cost-effectiveness.
“…Four of them included economical evaluations [28][29][30][31] and 20 used proxy measures [32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47][48][49][50][51]. Eight were randomized controlled trials (RCTs) and 16 were non-randomized comparison studies.…”
Section: Description Of Resultsmentioning
confidence: 99%
“…Eleven studies compared CD to CNL [29][30][31][32]36,37,41,42,[49][50][51]. The outcome measures used were length of hospitalization in six studies [30][31][32]36,37,42], length of sick leave in four studies [43,48,50,51], disability in two studies 37,48 , and cost of intervention in five studies [29][30][31]42,43].…”
Section: Description Of Resultsmentioning
confidence: 99%
“…However, all four studies favored the control intervention over CD. The results of the economic evaluations are described in the following section, listed in descending order of quality score: Launois, et al [31], Dullerud, et al [28], Ramirez & Javid [30] and Javid [29].…”
Section: Results Of the Cost-effectiveness Studiesmentioning
confidence: 99%
“…Eleven studies originated from the USA [29,30,32,33,38,39,41,43,4 6,47,51], twelve from Europe [28,31,[34][35][36][37]39,42,44,45,49,50] and one from Canada [48].…”
Section: Questionmentioning
confidence: 99%
“…Launois, et al [31] considered all the direct costs of each alternative intervention using decision modeling to estimate quality of life and calculate the amount of saved QALYs. Furthermore, the authors calculated the costs of each probable outcome and the 7-year follow-up strengthens the quality further.…”
Background: The current study reviews the literature on the cost-effectiveness of conventional diskectomy compared to other surgical techniques, by assessing studies with economical evaluation and studies using proxy measures of cost-effectiveness.
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