Health Utility Values Associated with Surgical Site Infection : A Systematic Review
Copyright © 2015. Published by Elsevier Inc..
BACKGROUND: Surgical site infection (SSI) is a costly postoperative complication whose impact on patients' health-related quality of life is highly uncertain and has not been summarized to date.
OBJECTIVE: The objective was to summarize the evidence base on SSI health utility values reported in patient-level studies and decision models.
METHODS: A systematic review of SSI utility values reported in patient-level and decision modeling studies was carried out. Studies in which utility values for SSI were either invoked (e.g., model-based economic evaluations) or elicited (e.g., valuation exercises), or at least one non-preference-based instrument was administered to patients with SSI after open surgery were included. Mapping algorithms were used, where appropriate, to calculate utilities from primary data. Results were summarized narratively, and the quality of the utility values used in the included modeling studies was assessed.
RESULTS: Of 6552 records identified in the database search, 28 studies were included in the review: 19 model-based economic evaluations and 9 patient-level studies. SSI utility decrements ranged from 0.04 to 0.48, of which 19 ranged from 0.1 to 0.3. SSI utility decrements could be calculated for three patient-level studies, and their values ranged from 0.05 (7 days postoperatively) to 0.124 (1 year postoperatively). In most modeling studies, SSI utilities were informed by authors' assumptions or by secondary sources.
CONCLUSIONS: SSI may substantially affect patients' health utility and needs to be considered when modeling decision problems in surgery. The evidence base for SSI utilities is of questionable quality and skewed toward orthopedic surgery. Further research must concentrate on producing reliable estimates for patients without orthopedic problems.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2015 |
|---|---|
| Erschienen: |
2015 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:18 |
|---|---|
| Enthalten in: |
Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research - 18(2015), 8 vom: 30. Dez., Seite 1126-37 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Gheorghe, Adrian [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Health utility |
|---|
| Anmerkungen: |
Date Completed 27.04.2016 Date Revised 30.03.2022 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1016/j.jval.2015.08.004 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM255739486 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM255739486 | ||
| 003 | DE-627 | ||
| 005 | 20231224175132.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231224s2015 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1016/j.jval.2015.08.004 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n0852.xml |
| 035 | |a (DE-627)NLM255739486 | ||
| 035 | |a (NLM)26686800 | ||
| 035 | |a (PII)S1098-3015(15)02032-X | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Gheorghe, Adrian |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Health Utility Values Associated with Surgical Site Infection |b A Systematic Review |
| 264 | 1 | |c 2015 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 27.04.2016 | ||
| 500 | |a Date Revised 30.03.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2015. Published by Elsevier Inc. | ||
| 520 | |a BACKGROUND: Surgical site infection (SSI) is a costly postoperative complication whose impact on patients' health-related quality of life is highly uncertain and has not been summarized to date | ||
| 520 | |a OBJECTIVE: The objective was to summarize the evidence base on SSI health utility values reported in patient-level studies and decision models | ||
| 520 | |a METHODS: A systematic review of SSI utility values reported in patient-level and decision modeling studies was carried out. Studies in which utility values for SSI were either invoked (e.g., model-based economic evaluations) or elicited (e.g., valuation exercises), or at least one non-preference-based instrument was administered to patients with SSI after open surgery were included. Mapping algorithms were used, where appropriate, to calculate utilities from primary data. Results were summarized narratively, and the quality of the utility values used in the included modeling studies was assessed | ||
| 520 | |a RESULTS: Of 6552 records identified in the database search, 28 studies were included in the review: 19 model-based economic evaluations and 9 patient-level studies. SSI utility decrements ranged from 0.04 to 0.48, of which 19 ranged from 0.1 to 0.3. SSI utility decrements could be calculated for three patient-level studies, and their values ranged from 0.05 (7 days postoperatively) to 0.124 (1 year postoperatively). In most modeling studies, SSI utilities were informed by authors' assumptions or by secondary sources | ||
| 520 | |a CONCLUSIONS: SSI may substantially affect patients' health utility and needs to be considered when modeling decision problems in surgery. The evidence base for SSI utilities is of questionable quality and skewed toward orthopedic surgery. Further research must concentrate on producing reliable estimates for patients without orthopedic problems | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Review | |
| 650 | 4 | |a Systematic Review | |
| 650 | 4 | |a health utility | |
| 650 | 4 | |a surgical site infection | |
| 650 | 4 | |a systematic review | |
| 700 | 1 | |a Moran, Grace |e verfasserin |4 aut | |
| 700 | 1 | |a Duffy, Helen |e verfasserin |4 aut | |
| 700 | 1 | |a Roberts, Tracy |e verfasserin |4 aut | |
| 700 | 1 | |a Pinkney, Thomas |e verfasserin |4 aut | |
| 700 | 1 | |a Calvert, Melanie |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research |d 1998 |g 18(2015), 8 vom: 30. Dez., Seite 1126-37 |w (DE-627)NLM115934545 |x 1524-4733 |7 nnns |
| 773 | 1 | 8 | |g volume:18 |g year:2015 |g number:8 |g day:30 |g month:12 |g pages:1126-37 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1016/j.jval.2015.08.004 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 18 |j 2015 |e 8 |b 30 |c 12 |h 1126-37 | ||