SciELO - Scientific Electronic Library Online

 
vol.13 número2Efectos del tratamiento fisioterapéutico con el Wii Balance board en las alteraciones posturales de dos niños con parálisis cerebral. Estudio de caso índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

  • En proceso de indezaciónCitado por Google
  • No hay articulos similaresSimilares en SciELO
  • En proceso de indezaciónSimilares en Google

Compartir


Revista Ciencias de la Salud

versión impresa ISSN 1692-7273

Resumen

GUEVARA, César Augusto  y  TAKEUCHI, Yuri. Cost-Utility of Interventions in Patients with Carpal Tunnel Syndrome Treated at a Tertiary Center in Cali, Colombia. Rev. Cienc. Salud [online]. 2015, vol.13, n.2, pp.125-140. ISSN 1692-7273.  https://doi.org/10.12804/revsalud13.02.2015.01.

Introduction: Although there are several treatments for carpal tunnel syndrome -cts-, the efficiency of these has not yet been evaluated in Colombia. Objective: Determine the incremental cost-utility ratio -icur- of medical and surgical treatment in patients with cts. Material and methods: A cost-utility analysis was conducted from the societal perspective with patients older than 18 years diagnosed with cts who received medical or surgical treatment. Quality-adjusted life-years (-qalys- were calculated using the EQ-5d. Costs were obtained from the iss national tariff 2001+30%.The results were extrapolated to long term figures through a Markov model with a discount rate of 3.5%.A probabilistic sensitivity analysis using Monte Carlo simulation was performed. Results: Fifty-three patients participated, women (71.7%); mean age: 55.5 years. 79% of patients received medical treatment.The most frequent treatment was medical observation (66.7%) and nsaids (16.6%). Medical treatment provided 0.33 qalys (± 0.11) and surgery 0.37 (± 0.10). The average total cost of medical treatment at six months and 20 years was COP 132006 (95% CI: COP 70255-425341) and COP 483440 (95% CI: COP 104310-862570) respectively.The cost of surgery was COP 1972644 (95% CI: COP 981204-8517065) and COP 979585 (95%:COP 684912-1274258). Surgery was dominated by six months. icur at 20 years was COP 1033635/ QALY additional (95% CI: COP 840179- 1235323/additional QALY), with a 80% of probability that surgery be cost-useful when willingness to pay COP 5000000 is achieved. Conclusion: Medical treatment is more cost-effective than surgery in the short term. However, in the long term, surgery is more cost-effective than the medical treatment.

Palabras clave : Carpal tunnel syndrome; costs and costs analysis; cost-benefit analysis; quality of life.

        · resumen en Español | Portugués     · texto en Español     · Español ( pdf )