Resorbable Bioinductive Collagen Implant Is Cost Effective in the Treatment of Rotator Cuff Tears

03 medical and health sciences 0302 clinical medicine 3. Good health
DOI: 10.1016/j.asmr.2023.01.002 Publication Date: 2023-02-11T13:19:13Z
ABSTRACT
This study was conducted to investigate whether the use of resorbable bioinductive collagen implant (RBI) in addition conventional rotator cuff repair (conventional RCR) is cost-effective when compared RCR alone, treatment full-thickness tears (FT RCT).We developed a decision analytic model compare expected incremental cost and clinical consequences for cohort patients with FT RCT. The probabilities healing or failure heal (retear) were estimated from published literature. Implant healthcare costs payor's perspective 2021 U.S. prices. An additional analysis included indirect estimations (e.g., productivity losses). Sensitivity analyses explored effect tear size, as well impact risk factors.The base case demonstrated that + results $232,468 an 18 healed RCTs per 100 treated over 1 year. cost-effectiveness ratio (ICER) $13,061/healed RCT alone. When return work model, RBI found be saving. Cost-effectiveness improved size largest benefit seen massive large tears, at higher retearing.This economic delivered rates marginal increase alone is, therefore, this patient population. Considering costs, resulted lower deemed saving.Level IV, analysis.
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