43 research outputs found
Cost-effectiveness of cardiac resynchronisation therapy for patients with moderate-to-severe heart failure: a lifetime Markov model
1-7Objective
To assess the cost-effectiveness of cardiac resynchronisation therapy (CRT) both with CRT-P (biventricular pacemaker only) and with CRT-D (biventricular pacemaker with defibrillator) in patients with New York Heart Association (NYHA) functional class III/IV from a Belgian healthcare-payer perspective.
Methods
A lifetime Markov model was designed to calculate the costâutility of both interventions. In the reference case, the treatment effect was based on the Comparison of Medical Therapy, Pacing and Defibrillation in Heart Failure trial. Costs were based on real-world data. Pharmacoeconomic guidelines were applied, including probabilistic modelling and sensitivity analyses.
Results
Compared with optimal medical treatment, on average 1.31 quality-adjusted life-years (QALY) are gained with CRT-P at an additional cost of âŹ14 700, resulting in an incremental cost-effectiveness ratio (ICER) of about âŹ11 200/QALY. As compared with CRT-P, CRT-D treatment adds on average an additional 0.55 QALYs at an extra cost of âŹ30 900 resulting in an ICER of âŹ57 000/QALY. This result was very sensitive to the incremental clinical benefit of the defibrillator function on top of CRT.
Conclusions
Based on efficiency arguments, CRT-P can be recommended for NYHA class III and IV patients if there is a willingness to pay more than âŹ11 000/QALY. Even though CRT-D may offer a survival benefit over CRT-P, the incremental clinical benefit appears to be too marginal to warrant a threefold-higher device price for CRT-D. Further clinical research should focus on the added value of CRT-D over CRT-P
Koppeling van de permanente st eekproef met de ziekenhuisgegevens : Haalbaarheids- en representativiteitsstudie
100 p.ill.Om wetenschappelijk onderzoek van gezondheidsdata door overheidsinstellingen sneller en goedkoper te laten verlopen worden bepaalde databanken best permanent aan elkaar gekoppeld. Indien dit op een strikt beveiligde manier gebeurt, kan men daardoor herhaalde, lange en complexe procedures voor de Privacycommissie vermijden. Dat stelt het Federaal Kenniscentrum voor de Gezondheidszorg (KCE) na een onderzoek dat het samen uitvoerde met het InterMutualistisch Agentschap (IMA), de Technische Cel (RIZIV-FOD Volksgezondheid) en het eHealth Platform
Couplage de lâĂ©chantillon permanent avec les donnĂ©es hospitaliĂšres : Ătude de faisabilitĂ© et de reprĂ©sentativitĂ© des donnĂ©es
95 p.ill.Mieux vaut coupler certaines banques de donnĂ©es de maniĂšre permanente pour que la recherche scientifique sur les donnĂ©es de santĂ© soit plus rapide et moins chĂšre. A condition, bien sĂ»r, que cela se dĂ©roule dâune maniĂšre strictement sĂ©curisĂ©e, ce couplage permet en effet dâĂ©viter des procĂ©dures rĂ©pĂ©tĂ©es, longues et complexes auprĂšs de la Commission de la protection de la vie privĂ©e. Câest ce que propose le Centre FĂ©dĂ©ral dâExpertise des Soins de SantĂ© (KCE) suite Ă une Ă©tude menĂ©e en collaboration avec lâAgence InterMutualiste (AIM), la Cellule Technique (INAMI-SPF SantĂ© publique) et la plateforme eHealth
Provider volume and short term complications after elective total hip replacement : an analysis of Belgian administrative data
311-9The relationship between provider volume and short term complications after an elective total hip replacement was studied on Belgian hospital discharge administrative database from 2004. The analysis included 11 856 patients. Hospitals were classified in low-volume (110). Surgeons were labelled low-volume (20). After adjustment for age, sex, principal diagnosis and comorbidity, surgeon volume was much more predictive of short term complications than centre volume. Patients treated by small volume surgeons (respectively medium volume surgeons) had a 43% higher odds of complications than patients operated by high volume surgeons (respectively 37%). Despite some limitations, Belgian administrative hospital discharge databases can be used to assess the volume outcome relationship for orthopaedic surgery. The study has emphasized the need to closely monitor individual performance, for hospitals and surgeons. Providers requiring further auditing can be effectively identified with funnel plots used routinely in quality control programs
Neuromodulation pour la prise en charge de la douleur chronique : systÚmes implantés de neurostimulation médullaire et pompes intrathécales analgésiques - SynthÚse
14 p.Ill.Le Centre FĂ©dĂ©ral dâExpertise des Soins de santĂ© (KCE) sâest penchĂ© sur la stimulation de la moelle Ă©piniĂšre et les pompes Ă douleur (IADP), deux techniques de neuromodulation visant Ă lutter contre les douleurs chroniques sĂ©vĂšres. Les preuves scientifiques de leur efficacitĂ© sont limitĂ©es et ces techniques, comme dâailleurs toutes les interventions invasives, ne sont pas sans risques. Câest pourquoi il ne faut les utiliser que dans les cas oĂč les autres thĂ©rapies ont toutes Ă©chouĂ©. ComparĂ© aux pays voisins, le nombre dâinterventions de neuromodulation est particuliĂšrement Ă©levĂ© en Belgique. Ce qui pourrait sâexpliquer par le nombre important dâopĂ©rations du dos dans notre pays