Cost-effectiveness analysis of the treatment with compressive therapy in the healing of venous ulcers

Authors

  • Sarah Lopes Silva Sodré Hospital Universitário Graffre Guinle, Centro de Terapia Intensiva, Rio de Janeiro, RJ, Brasil. Hospital Central da Aeronáutica, Rio de Janeiro, RJ, Brasil. Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brasil http://orcid.org/0000-0003-2142-0533
  • Glycia de Almeida Nogueira Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brasil http://orcid.org/0000-0002-2986-2427
  • Alcione Matos de Abreu Universidade Federal do Estado do Rio de Janeiro, Departamento de Enfermagem Médico-Cirúrgica, Rio de Janeiro, RJ, Brasil http://orcid.org/0000-0001-6078-7149
  • Cristiano Bertolossi Marta Universidade do Estado do Rio de Janeiro, Departamento de Enfermagem Fundamental, Rio de Janeiro, RJ, Brasil. Universidade Veiga de Almeida, Faculdade de Enfermagem, Rio de Janeiro, RJ, Brasil http://orcid.org/0000-0002-0635-7970
  • Antônio Augusto de Freitas Peregrino Universidade Veiga de Almeida, Faculdade de Enfermagem, Rio de Janeiro, RJ, Brasil. Universidade do Estado do Rio de Janeiro, Departamento de Ciências Radiológicas, Rio de Janeiro, RJ, Brasil http://orcid.org/0000-0002-6617-480X
  • Roberto Carlos Lyra da Silva Universidade do Estado do Rio de Janeiro, Departamento de Enfermagem Fundamental, Rio de Janeiro, RJ, Brasil http://orcid.org/0000-0001-9416-9525

DOI:

https://doi.org/10.1590/1518-8345.6017.3841%20

Keywords:

Varicose Ulcer; Leg Ulcer; Compression Bandages; Bandages; Wound Healing; Technology Assessment, Biomedical

Abstract

Objective: to analyze the cost-effectiveness and calculate the incremental cost-effectiveness ratio of multilayer compressive treatment in relation to inelastic (Unna boot and short stretch) therapy according to the current literature. Method: quantitative study about cost-effectiveness through modeling with the aid of TreeAge® software for construction of the decision tree. The anticipated assumptions were obtained by using secondary literature data to estimate the cost and effectiveness of the assumed parameters. A systematic literature review with meta-analysis was performed for this end. Results: the decision tree after Roll Back showed that the multilayer therapy dominated the alternatives in the base case, representing an intermediate cost per application, although with the highest effectiveness. The cost-effectiveness analysis graph also showed extended dominance of the Unna boot in relation to the short stretch bandage. The sensitivity analysis showed that multilayer bandage remains a more cost-effective alternative, within the threshold of willingness to pay. Conclusion: the most cost-effective alternative was multilayer bandage, considered the gold standard in the literature. The second most cost-effective alternative was the Unna boot, the most used therapy in Brazil.

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Published

2023-03-27

Issue

Vol. 31 (2023)

Section

Original Articles

License

Creative Commons License

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How to Cite

Cost-effectiveness analysis of the treatment with compressive therapy in the healing of venous ulcers. (2023). Revista Latino-Americana De Enfermagem, 31, e3841. https://doi.org/10.1590/1518-8345.6017.3841