A preliminary cost-utility analysis of the prosthetic care innovations: case of the keep walking implant | QUT ePrints QUT Home Contact Home Browse About Login A preliminary cost-utility analysis of the prosthetic care innovations: case of the keep walking implant Guirao, Lluis, Samitier, Beatriz, & Frossard, Laurent (2021) A preliminary cost-utility analysis of the prosthetic care innovations: case of the keep walking implant. Canadian Prosthetics and Orthotics Journal (CPOJ), 4(2), Article number: 11. Preview Published Version (PDF 707kB) 98988813. Available under License Creative Commons Attribution 4.0. Open access copy at publisher website Description Several obstacles must be overcome before preliminary cost-utility analyses (CUA) of prosthetic care innovations can be routinely performed. The basic framework of preliminary CUAs and hands-on recommendations suggested previously might contribute to wider adoption. However, a practical application for an emerging intervention is needed to showcase the capacity of this proposed preliminary CUA framework. This study presented the outcomes of preliminary CUA of the distal weight bearing Keep Walking Implant (KWI), an emerging prosthetic care innovation that may reduce socket fittings for individuals with transfemoral amputation. The preliminary CUAs compared the provision of prosthetic care without (usual intervention) and with the KWI (new intervention) using a 15-step iterative process focused on feasibility, constructs, analysis, and interpretations of outcomes from an Australia government prosthetic care perspective over a six-year time horizon. Baseline and incremental costs were extracted from schedules of allowable expenses. Baseline utilities were extracted from a study and converted into quality-adjusted life-year (QALY). Incremental utilities were calculated based on sensible gains of QALY from baselines. The provision of the prosthetic care with the KWI could generate an indicative incremental cost-utility ratio (ICUR) of -$36,890 per QALY, which was $76,890 per QALY below willingness-to-pay threshold, provided that the KWI reduces costs by $17,910 while increasing utility by 0.485 QALY compared to usual interventions. This preliminary CUA provided administrators of healthcare organizations in Australia and elsewhere with prerequisite evidence justifying further access to market and clinical introduction of the KWI. Altogether, this work suggests that the basic framework of the preliminary CUA of a prosthetic care innovation proposed previously is feasible and informative when a series of assumptions are carefully considered. This study further confirms that preliminary CUAs prosthetic care interventions might be a relevant alternative to full CUA for other medical treatments. Impact and interest: 1 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 Full-text downloads: 108 since deposited on 28 Sep 2021 108 in the past twelve months Full-text downloads displays the total number of times this work’s files (e.g., a PDF) have been downloaded from QUT ePrints as well as the number of downloads in the previous 365 days. The count includes downloads for all files if a work has more than one. More statistics... ID Code: 213586 Item Type: Contribution to Journal (Journal Article) Refereed: Yes ORCID iD: Frossard, Laurent orcid.org/0000-0002-0248-9589 Additional Information: Acknowledgements: This study was partially funded by TEQUIR S.L. and Stable Orthopaedics Pty Ltd. These companies had no influence on the design, data analysis, orinterpretation of this research study. TEQUIR S.L. provided technical information about the Keep Walking Implant as well as the raw quality of life data and contributed to the writing of this manuscript. Measurements or Duration: 15 Keywords: Artificial Limbs, bionic limbs, bone-anchored prosthesis, cost-effectiveness, cost-utility, Distal Weight Bearing Implant, Osseointegration, Prosthesis DOI: 10.33137/cpoj.v4i2.36366 ISSN: 2561-987X Pure ID: 98988813 Divisions: Current > QUT Faculties and Divisions > Faculty of Health Current > Schools > School of Exercise & Nutrition Sciences Copyright Owner: 2021 The Author(s) 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: 28 Sep 2021 23:50 Last Modified: 17 Dec 2021 01:48 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
