Cost-effectiveness of Coblation compared with cold steel tonsillectomies in the UK.

Related Articles

Cost-effectiveness of Coblation compared with cold steel tonsillectomies in the UK.

J Laryngol Otol. 2018 Dec;132(12):1119-1127

Authors: Guest JF, Rana K, Hopkins C

Abstract
OBJECTIVE: This study aimed to estimate the cost-effectiveness of Coblation compared with cold steel tonsillectomy in adult and paediatric patients in the UK.
METHOD: Decision analysis was undertaken by combining published clinical outcomes with resource utilisation estimates derived from a panel of clinicians.
RESULTS: Using a cold steel procedure instead of Coblation is expected to generate an incremental cost of more than £2000 for each additional avoided haemorrhage, and the probability of cold steel being cost-effective was approximately 0.50. Therefore, the cost-effectiveness of the two techniques was comparable. When the published clinical outcomes were replaced with clinicians' estimates of current practice, Coblation was found to improve outcome for less cost, and the probability of Coblation being cost-effective was at least 0.70.
CONCLUSION: A best-case scenario suggests Coblation affords the National Health Service a cost-effective intervention for tonsillectomy in adult and paediatric patients compared with cold steel procedures. A worst-case scenario suggests Coblation affords the National Health Service an equivalent cost-effective intervention for adult and paediatric patients.

PMID: 30674367 [PubMed - in process]

from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader http://bit.ly/2RbwhTv