<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0123-4226</journal-id>
<journal-title><![CDATA[Revista U.D.C.A Actualidad & Divulgación Científica]]></journal-title>
<abbrev-journal-title><![CDATA[rev.udcaactual.divulg.cient.]]></abbrev-journal-title>
<issn>0123-4226</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Aplicadas y Ambientales]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0123-42262018000100005</article-id>
<article-id pub-id-type="doi">10.31910/rudca.v21.n1.2018.657</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[COSTO-EFECTIVIDAD DEL TRATAMIENTO QUIRÚRGICO VS CORTICOIDES LOCALES EN EL SÍNDROME DEL TÚNEL DEL CARPO]]></article-title>
<article-title xml:lang="en"><![CDATA[COST-EFFECTIVENESS OF SURGICAL TREATMENT VS LOCAL STEROIDS IN CARPAL TUNNEL SYNDROME]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Palencia-Sánchez]]></surname>
<given-names><![CDATA[Francisco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Vega]]></surname>
<given-names><![CDATA[Oscar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Riaño-Casallas]]></surname>
<given-names><![CDATA[Martha]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Colombia Facultad de Medicina ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional de Colombia Facultad de Medicina ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Nacional de Colombia Facultad de Ciencias Económicas ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>06</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>06</month>
<year>2018</year>
</pub-date>
<volume>21</volume>
<numero>1</numero>
<fpage>5</fpage>
<lpage>14</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0123-42262018000100005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0123-42262018000100005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0123-42262018000100005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN El síndrome del túnel del carpo (STC) es la neuropatía por atrapamiento más frecuente y, a su vez, la que más afecta a la población trabajadora, cuyo tratamiento implica una carga económica para el sistema de salud. El objetivo de esta investigación fue evaluar el costo-efectividad del tratamiento quirúrgico convencional y la infiltración local de corticoides, para el síndrome del túnel del carpo, en población trabajadora colombiana. Teniendo en cuenta que es una de las enfermedades de origen laboral más prevalentes en el país, se realizó un estudio de costo efectividad, desde la perspectiva del tercer pagador (Empresas Promotoras de Salud y Aseguradoras de Riesgos Laborales), en que se compararon alternativas de tratamiento quirúrgica y médica, para esta patología, para lo cual, se elaboró un árbol de decisión en el escenario clínico de un trabajador con un síndrome del túnel del carpo severo, para un horizonte temporal de un año, en el que se incluyeron los costos directos e indirectos asociados. Los resultados para el escenario y horizonte temporal propuesto en relación con esta patología es que ninguna de las alternativas resultó ser claramente dominante, dentro del plano de costo-efectividad. La razón de costo-efectividad incremental de la cirugía en comparación con la aplicación de corticoides fue de $1.974.945,68, por 0,6 casos de mejoría. En el análisis de sensibilidad de Montecarlo, la aplicación local de corticoides fue costo-efectiva en el 100% de los casos, de acuerdo con el umbral propuesto.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[SUMMARY Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy and in turn, the one that most affects the working population whose treatment implies an economic burden to the health system. The aim of this research was to evaluate the cost-effectiveness of conventional surgical treatment and local infiltration of corticosteroids for carpal tunnel syndrome in the Colombian working population. Considering that it is one of the most prevalent occupational diseases, in the country from the perspective of the third payer (Health Promoting Companies and Occupational Risk Insurers). A cost-effectiveness study was carried out in which alternatives of surgical and medical treatment for this pathology were compared, through a decision tree was elaborated in the clinical scenario of a worker with a severe carpal tunnel syndrome for a time horizon of one year, in which the associated direct and indirect costs were included. The results from the scenario and time horizon proposed in relation to this pathology, none of the alternatives turned out to be dominant within the plane of cost-effectiveness. The incremental costeffectiveness ratio of the surgery compared to the application of corticosteroids was 1,974,945.68 pesos for 0.6 cases of improvement. In the sensitivity analysis of Monte Carlo, the local application of corticosteroids was cost-effective in 100% of the cases according to the proposed threshold.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Síndrome del túnel carpiano]]></kwd>
<kwd lng="es"><![CDATA[evaluación de la tecnología biomédica]]></kwd>
<kwd lng="es"><![CDATA[evaluación de costo-efectividad.]]></kwd>
<kwd lng="en"><![CDATA[Cost-benefit analysis]]></kwd>
<kwd lng="en"><![CDATA[carpal tunnel syndrome]]></kwd>
<kwd lng="en"><![CDATA[technology assessment]]></kwd>
<kwd lng="en"><![CDATA[biomedical]]></kwd>
</kwd-group>
</article-meta>
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