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- Title
Cost-effectiveness analysis of tension-free vaginal tape vs burch colposuspension for female stress urinary incontinence in the USA.
- Authors
Laudano, Melissa A.; Seklehner, Stephan; Chughtai, Bilal; Lee, Una; Tyagi, Renuka; Kavaler, Elizabeth; Te, Alexis E.; Kaplan, Steven A.; Lee, Richard K.
- Abstract
Objective To compare the cost-effectiveness ( CE) of tension-free vaginal tape ( TVT) with that of burch colposuspension ( BC) for the treatment of female stress urinary incontinence ( SUI)., Materials and Methods A Markov-chain decision model was created to simulate treatment of SUI with TVT or BC using Treeage Pro 2011 software ( Treeage Software Inc., Williamstown, MA, USA)., Costing data were obtained from the Medicare Resource- Based Relative Value Scale., Data regarding the success of TVT vs BC were obtained from the peer-reviewed literature, as were corresponding utilities for different continence states., The CE of each procedure was calculated and compared, and sensitivity analyses were performed., Results At 10-year follow-up, TVT was more cost-effective ( CE = $1495/quality-adjusted life year [ QALY]) than BC ( CE = $1824/ QALY)., Sensitivity analysis showed that TVT was more cost-effective than BC if the cost of the TVT device was <$3220., If the probability of success after TVT was <42%, then BC became the more cost-effective strategy ( CE = $1827/ QALY)., Conclusion Our study showed that TVT was more cost-effective than BC as a treatment for female SUI., Both cost of TVT device and efficacy of the procedure affect the CE analysis.
- Subjects
URINARY incontinence treatment; MARKOV processes; SENSITIVITY analysis; COST effectiveness; WOMEN'S health
- Publication
BJU International, 2013, Vol 112, Issue 2, pE151
- ISSN
1464-4096
- Publication type
Article
- DOI
10.1111/bju.12180