Cost-utility analysis of the use of prophylactic mesh augmentation compared with primary fascial suture repair in patients at high risk for incisional hernia

Fischer, John P.; Basta, Marten N.; Wink, Jason D.; Krishnan, Naveen M.; Kovach, Stephen J.

doi:10.1016/j.surg.2015.02.030

Cited by 47 publications

(34 citation statements)

References 48 publications

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“…Our group has recently assessed the cost-utility of prophylactic mesh augmentation compared to primary fascial closure in high-risk laparotomy patients using similar techniques. 52 This analysis demonstrated a 15 percent risk reduction with prophylactic mesh augmentation, and that prophylactic mesh augmentation was more effective and less costly and thus the dominant strategy across a wide range of willingness-to-pay thresholds. As hernia techniques evolve and the challenges and often disappointing results realized following complex repairs are assessed, the future role of prophylactic mesh augmentation may become great to prevent hernia formation.…”

Section: Discussionmentioning

confidence: 80%

A Cost-Utility Assessment of Mesh Selection in Clean-Contaminated Ventral Hernia Repair

Fischer

Basta

Krishnan

et al. 2016

Plastic and Reconstructive Surgery

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Section: Discussionmentioning

confidence: 80%

A Cost-Utility Assessment of Mesh Selection in Clean-Contaminated Ventral Hernia Repair

Fischer

Basta

Krishnan

et al. 2016

Plastic and Reconstructive Surgery

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“…A recent study performed a comparison of synthetic mesh versus acellular dermal matrix in cleancontaminated ventral hernia repair through a decision model with a lifetime perspective. 33 Synthetic mesh reinforcement had an expected cost of $15,776 (21.03 quality-adjusted life-years), while biological mesh had an expected cost of $23,844 (20.94 quality-adjusted life-years). Sensitivity analysis demonstrated that synthetic mesh was the preferred and most cost-effective strategy in 94% of simulations, supporting its overall greater cost utility.…”

Section: Costmentioning

confidence: 99%

Budget Impact Analysis of a Biosynthetic Mesh for Incisional Hernia Repair

Rognoni

Bassi²,

Cataldo

et al. 2018

Clinical Therapeutics

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Purpose: With the development of newer prostheses for hernia repair, it is nowadays difficult to understand the total cost of managing patients treated with these advanced medical devices, especially in the complex abdomen, in which various complications may occur. The aim of this study was to determine the economic implications of these prostheses in order to inform decision making in the management of incisional hernia repair. Methods: A budget impact analysis model was developed to evaluate the economic consequences related to the management of patients undergoing complex (Centers for Disease Control and Prevention wound class IIeIII or Ventral Hernia Working Group grade 2/3) incisional hernia repair through biosynthetic, synthetic, or biological meshes, from the hospital perspective in Italy. The model was populated with complication rates mainly retrieved from the literature to compare the current scenario with 60%, 10%, and 30% rates of synthetic, biosynthetic, and biological mesh utilization, respectively, with future hypothetical scenarios that consider increasing rates of biosynthetic mesh utilization with respect to the other types of mesh in the next 5 years. Hospital costs of the different events were estimated based on health care resource consumption derived from an electronic survey addressed to key opinion leaders in the field. Findings: The analysis compared the current scenario with future hypothetical scenarios that consider increasing utilization rates of biosynthetic meshes of 25%, 38%, and 44% in the next 1, 3, and 5 years, as estimated by clinicians. Considering 40,000 incisional hernia repairs per year, an increasing use of the biosynthetic meshes may result in a decrease in the total hospital budget of about V153 million in the next 5 years, with a savings per patient of about V770.

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“…one year in perfect health, often set to approximately V 50,000-100,000. 9,[31][32][33] In sensitivity analysis for the ICER calculation, the discount rate and BDI frequency were varied.…”

Section: Cost Analysismentioning

confidence: 99%

Routine intraoperative cholangiography during cholecystectomy is a cost-effective approach when analysing the cost of iatrogenic bile duct injuries

Rystedt¹,

Tingstedt

Montgomery

et al. 2017

HPB

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Cost-utility analysis of the use of prophylactic mesh augmentation compared with primary fascial suture repair in patients at high risk for incisional hernia

Abstract: Cost-utility analysis of PSC compared to PMA for abdominal laparotomy closure demonstrates PMA to be more effective, less costly, and overall more cost-effective than PSC.

Cited by 47 publications

References 48 publications

A Cost-Utility Assessment of Mesh Selection in Clean-Contaminated Ventral Hernia Repair

A Cost-Utility Assessment of Mesh Selection in Clean-Contaminated Ventral Hernia Repair

Budget Impact Analysis of a Biosynthetic Mesh for Incisional Hernia Repair

Routine intraoperative cholangiography during cholecystectomy is a cost-effective approach when analysing the cost of iatrogenic bile duct injuries

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