logo BDSP

Base documentaire


Votre avis nous intéresse

Le réseau BDSP met en oeuvre un projet d'innovation et d'amélioration de ses services, dans le souci constant de proposer des contenus de qualité adaptés aux besoins des utilisateurs.

Identifier de nouvelles sources de financements est la condition nécessaire pour assurer la poursuite et la pérennité de cet outil unique qu'est la BDSP, tout en le faisant évoluer.

Pour définir un nouveau modèle économique, nous avons besoin de votre avis : merci de répondre à notre enquête (temps estimé : 5 minutes).

Participer maintenant
Participer plus tard J'ai déjà participé

  1. Cost-utility of lung transplantation : A pilot study.

    Article - En anglais

    Background 

    The purpose of this study was to conduct a pilot investigation of the cost-utility of lung transplantation.

    With this study we provide a threshold analysis to estimate the survival gains that must be achieved for lung transplantation to be considered a beneficial use of society's resources.

    Methods 

    A cross-sectional cohort design was used.

    All patients having undergone lung transplantation at the University of Pittsburgh Medical Center between March 1 and August 31,1994, were identified via roster of transplant recipients (n=20).

    Surviving patients were interviewed, by telephone, at their 1-year anniversary date.

    Utility was assessed by use of the quality of well-being scale.

    Direct cost of care was estimated from adjusted charges for the surgical admission, plus physician fees per the Medicare Physician Fee Schedule.

    Results 

    The mean quality of well-being score for this group was 0.54 ± 0.198 SD (median=0.599, range 0 to 0.728).

    Summing the physician cost and the adjusted charges for the inpatient operative admission, the average cost of lung transplantation was $153,921 ± $133,981 SD (median $94,324, range $63,405 to $598,482).

    At a cost of $94,324 and a utility of 0.599, the survival gain from surgery must be 2.7 years for the cost of the procedure to be justified from a societal perspective.

    Conclusions 

    Because of the many limitations in this pilot study, no firm policy implication may be drawn from these data. (...)

    Mots-clés Pascal : Coût, Poumon, Economie santé, Pronostic, Homotransplantation, Survie, Chirurgie, Homme

    Mots-clés Pascal anglais : Costs, Lung, Health economy, Prognosis, Homotransplantation, Survival, Surgery, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0044139

    Code Inist : 002B25D. Création : 14/05/1998.