Cost-utility analysis of great saphenous vein ablation with radiofrequency, foam and surgery in the emerging health-care setting of Thailand

Siribumrungwong, Boonying; Noorit, Pinit; Wilasrusmee, Chumpon; Leelahavarong, Pattara; Thakkinstian, Ammarin; Teerawattananon, Yot

doi:10.1177/0268355515604258

Cited by 9 publications

(7 citation statements)

References 20 publications

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“…The Center of Disease Control guidelines were used in the majority of the studies to define an SSI [52-57, 61-64, 66]. However, three studies lacked a definition of what constituted a SSI [59,60,65]. One study classified a SSI based on the wound discharge culture or other SSI suggestive signs and symptoms but these were not elaborated further [58].…”

Section: Plos Onementioning

confidence: 99%

“…In general, studies tended to have a low number of SSI patients with the sample size of SSI patients in each study ranging from 4 patients [60,63] to 106 patients [57]. Six studies had twenty or fewer SSI patients [52,53,56,59,60,63].…”

Section: Plos Onementioning

confidence: 99%

“…The additional cost of SSI ranged from $174 (Thailand) [60] to $29,610 (India) [63]. The lowest additional cost of SSI was from a study by Siribumrungwong et al [60]. Their SSI cost was made up of undefined hospital costs of four SSI patients with no detail of the non-SSI comparator group.…”

Section: Plos Onementioning

confidence: 99%

“…The fifteen studies were published from 2003 to 2018 and data collection spanned 1999 to 2015. Studies were based in Turkey (n = 3)[52][53][54], China (n = 2)[55,56], Jordan (n = 2)[57,58], Thailand (n = 2)[59,60], Brazil (n = 1)[61], Egypt…”

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confidence: 99%

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Surgical site infection and costs in low- and middle-income countries: A systematic review of the economic burden

et al. 2020

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Background Surgical site infection (SSI) is a worldwide problem which has morbidity, mortality and financial consequences. The incidence rate of SSI is high in Low-and Middle-Income countries (LMICs) compared to high income countries, and the costly surgical complication can raise the potential risk of financial catastrophe. Objective The aim of the study is to critically appraise studies on the cost of SSI in a range of LMIC studies and compare these estimates with a reference standard of high income European studies who have explored similar SSI costs. Methods A systematic review was undertaken using searches of two electronic databases, EMBASE and MEDLINE In-Process & Other Non-Indexed Citations, up to February 2019. Study characteristics, comparator group, methods and results were extracted by using a standard template. Results Studies from 15 LMIC and 16 European countries were identified and reviewed in full. The additional cost of SSI range

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Section: Plos Onementioning

confidence: 99%

Section: Plos Onementioning

confidence: 99%

Section: Plos Onementioning

confidence: 99%

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confidence: 99%

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Surgical site infection and costs in low- and middle-income countries: A systematic review of the economic burden

et al. 2020

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“…The benefits over open surgery are less postoperative pain, a lower rate of surgical site infection, faster return to normal activities and work 7. However, they are accompanied by higher equipment costs 8. Therefore, many techniques of endovenous ablation have emerged including endovenous laser ablation (EVLA), radio frequency ablation (RFA), endovenous steam ablation (EVSA) and ultrasound-guided foam sclerotherapy (UGFS).…”

Section: Introductionmentioning

confidence: 99%

Endovenous ablation and surgery in great saphenous vein reflux: a systematic review and network meta-analysis of randomised controlled trials protocol

et al. 2019

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IntroductionEndovenous ablations are the new standard procedures for treatment of great saphenous vein reflux including endovenous laser ablation (EVLA), radio frequency ablation (RFA), endovenous steam ablation (EVSA), mechanochemical ablation (MOCA), cyanoacrylate injection and ultrasound-guided foam sclerotherapy (UGFS). EVLA and RFA have demonstrated similar anatomical success for short-term outcome, but results are controversial for longer term (≥5 years). Additional evidences from randomised controlled trials have been published. This study is, therefore, conducted to, directly and indirectly, compare outcomes among all procedures stratifying by short-term and long-term follow-up.Methods and analysisMedline and Scopus will be searched from 2000 to September 2018 with predefined search strategy. Interventions of interest are open surgery (ie, saphenofemoral or high ligation (HL) with stripping) and endovenous ablations (ie, EVLA, RFA, EVSA, MOCA, cyanoacrylate injection and UGFS). The primary outcome is anatomical success. Two independent reviewers will select studies, extract data and assess risk of bias. Disagreement will be adjudicated by the third party. Outcomes will be directly pooled if there are at least three studies in that comparison. A fixed-effect model will be used unless heterogeneity is present, in which case a random-effect model will be applied. Sources of heterogeneity will be explored using meta-regression analysis, and sub-group analysis will be done accordingly. Publication bias will be assessed using Egger’s test and funnel plot. A network meta-analysis will be applied to indirect compare all interventions including RFA, EVLA, EVLA with HL, UGFS, UGFS with HL and HL with stripping. Probability of being best intervention will be estimated and ranked. Inconsistency assumption will be checked using a design-by-treatment interaction model.Ethics and disseminationEthical approval is not required for systematic review and network meta-analysis. The study will be published in a peer-reviewed journal.PROSPERO registration numberCRD42018096794.

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Surgical Solutions Are an Alternative to Compression Bandaging in Venous Leg Ulcer

Siribumrungwong

Orrapin

Mani

2018

Compression and Chronic Wound Management

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Cost-utility analysis of great saphenous vein ablation with radiofrequency, foam and surgery in the emerging health-care setting of Thailand

Abstract: Ultrasound-guided foam sclerotherapy seems to be cost-effective for treating great saphenous vein reflux compared to surgery in Thailand at one-year results.

Cited by 9 publications

References 20 publications

Surgical site infection and costs in low- and middle-income countries: A systematic review of the economic burden

Surgical site infection and costs in low- and middle-income countries: A systematic review of the economic burden

Endovenous ablation and surgery in great saphenous vein reflux: a systematic review and network meta-analysis of randomised controlled trials protocol

Surgical Solutions Are an Alternative to Compression Bandaging in Venous Leg Ulcer

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