Cost-effectiveness of bone-anchored prosthesis: the Queensland experience | QUT ePrints QUT Home Contact Home Browse About Login Cost-effectiveness of bone-anchored prosthesis: the Queensland experience Frossard, Laurent, Merlo, Gregory, Quinecy, Tanya, Berg, Debra, & Burkett, Brendan (2015) Cost-effectiveness of bone-anchored prosthesis: the Queensland experience. In Australian Orthotic Prosthetic Association (AOPA) Congress, 2015-09-25 - 2015-09-26. Preview Published Version (PDF 2MB) Abs-AOPA conf-Adelaide-Cost-effectiveness and QLD experience-ePrint-ALL-V01.pdf. Description Individuals with limb amputation fitted with conventional socket-suspended prostheses often experience socket-related discomfort leading to a significant decrease in quality of life. Bone-anchored prostheses are increasingly acknowledged as viable alternative method of attachment of artificial limb. In this case, the prosthesis is attached directly to the residual skeleton through a percutaneous fixation. To date, a few osseointegration fixations are commercially available. Several devices are at different stages of development particularly in Europe and the US. [1-15] Clearly, surgical procedures are currently blooming worldwide. Indeed, Australia and Queensland, in particular, have one of the fastest growing populations. Previous studies involving either screw-type implants or press-fit fixations for bone-anchorage have focused on biomechanics aspects as well as the clinical benefits and safety of the procedure. In principle, bone-anchored prostheses should eliminate lifetime expenses associated with sockets and, consequently, potentially alleviate the financial burden of amputation for governmental organizations. Unfortunately, publications focusing on cost-effectiveness are sparse. In fact, only one study published by Haggstrom et al (2012), reported that “despite significantly fewer visits for prosthetic service the annual mean costs for osseointegrated prostheses were comparable with socket-suspended prostheses”. Consequently, governmental organizations such as Queensland Artificial Limb Services (QALS) are facing a number of challenges while adjusting financial assistance schemes that should be fair and equitable to their clients fitted with bone-anchored prostheses. Clearly, more scientific evidence extracted from governmental databases is needed to further consolidate the analyses of financial burden associated with both methods of attachment (i.e., conventional sockets prostheses, bone-anchored prostheses). The purpose of the presentation will be to share the current outcomes of a cost-analysis study lead by QALS. The specific objectives will be: • To outline methodological avenues to assess the cost-effectiveness of bone-anchored prostheses compared to conventional sockets prostheses, • To highlight the potential obstacles and limitations in cost-effectiveness analyses of bone-anchored prostheses, • To present cohort results of a cost-effectiveness (QALY vs cost) including the determination of fair Incremental cost-effectiveness Ratios (ICER) as well as cost-benefit analysis focusing on the comparing costs and key outcome indicators (e.g., QTFA, TUG, 6MWT, activities of daily living) over QALS funding cycles for both methods of attachment. Impact and interest: 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: 57 since deposited on 01 Oct 2015 7 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: 87958 Item Type: Contribution to conference (Abstract) Refereed: No Measurements or Duration: 1 Pure ID: 32820694 Divisions: Current > QUT Faculties and Divisions > Faculty of Health Current > Schools > School of Exercise & Nutrition Sciences Current > Institutes > Institute of Health and Biomedical Innovation Copyright Owner: Copyright 2015 [Please consult the author] 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. 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