Cost-effectiveness of transtibial bone-anchored prostheses using osseointegrated fixation: From challenges to preliminary data | QUT ePrints QUT Home Contact Home Browse About Login Cost-effectiveness of transtibial bone-anchored prostheses using osseointegrated fixation: From challenges to preliminary data Frossard, Laurent, Ferrada, Luciann, Quincey, Tanya, & Berg, Debra (2021) Cost-effectiveness of transtibial bone-anchored prostheses using osseointegrated fixation: From challenges to preliminary data. Journal of Prosthetics and Orthotics, 33(3), pp. 184-195. Accepted Version (PDF 2MB) 83184069. Administrators only until 29 April 2022 | Request a copy from author Available under License Creative Commons Attribution Non-commercial 4.0. View at publisher Description Introduction: This initial cost-effectiveness evaluation compared the provision of transtibial bone-anchored prostheses (TTA-BAPs) with socket-suspended prostheses (TTA-SSPs) over a 6-year time horizon from a governmental prosthetic care perspective. The purposes were to present ways we dealt with barriers encountered during the cost-effectiveness analysis. The objectives were to detail the extraction of baseline and incremental costs and utilities required to provide preliminary incremental cost-effectiveness ratios (ICERs) per quality-adjusted life-year (QALY). Materials and Methods: This retrospective case-series study involved six participants fitted consecutively with TTA-SSP and TTA-BAP. Total costs combined actual and typical costs extracted from financial records and a schedule of allowable expenses, respectively. Baseline utilities were extracted from the literature, whereas incremental utilities were assumed. Results: ICERs ranged between -$25,065 and $41,929 per QALY. Indicative ICER was approximately $11,400 per QALY. Provision of TTA-BAP was cost-effective and cost saving for 83% and 33% of cases, respectively. Discussion: Educated choices were required to overcome unavailability of individual costs (e.g., creation of schedule of allowable expenses, blending of actual and typical costs) and utilities (e.g., extraction of baseline from literature, assumptions for incremental gain). Indicative ICER might lead to adoption of TTA-BAP, at least from an Australian governmental prosthetic care perspective. Impact and interest: 0 citations in Scopus Search Google Scholar™ Citation counts are sourced monthly from Scopus and Web of Science® citation databases. These databases contain citations from different subsets of available publications and different time periods and thus the citation count from each is usually different. Some works are not in either database and no count is displayed. Scopus includes citations from articles published in 1996 onwards, and Web of Science® generally from 1980 onwards. Citations counts from the Google Scholar™ indexing service can be viewed at the linked Google Scholar™ search. Notify us of incorrect data How to use citation counts More information More statistics... ID Code: 210153 Item Type: Contribution to Journal (Journal Article) Refereed: Yes ORCID iD: Frossard, Laurent orcid.org/0000-0002-0248-9589 Measurements or Duration: 12 Keywords: amputation, Artificial limbs, bionic limbs, bone-anchored prosthesis, cost-effectiveness, cost-utility, osseointegration, prosthesis DOI: 10.1097/JPO.0000000000000372 ISSN: 1040-8800 Pure ID: 83184069 Divisions: Current > QUT Faculties and Divisions > Faculty of Health ?? 4901 ?? Copyright Owner: 2021 American Academy of Orthotists and Prosthetists Copyright Statement: This work is covered by copyright. Unless the document is being made available under a Creative Commons Licence, you must assume that re-use is limited to personal use and that permission from the copyright owner must be obtained for all other uses. If the document is available under a Creative Commons License (or other specified license) then refer to the Licence for details of permitted re-use. It is a condition of access that users recognise and abide by the legal requirements associated with these rights. If you believe that this work infringes copyright please provide details by email to qut.copyright@qut.edu.au Deposited On: 06 May 2021 04:58 Last Modified: 20 Sep 2021 08:32 Export: EndNote | Dublin Core | BibTeX Repository Staff Only: item control page Home Browse research About CRICOS No. 00213J ABN 83 791 724 622 Accessibility Copyright Disclaimer Privacy Right to Information
