An Economic Analysis of Implantable Doppler Technology in Head and Neck Reconstruction | Posted on:2013-09-20 | Degree:M.Sc | Type:Thesis | University:University of Ottawa (Canada) | Candidate:Gupta, Michael | Full Text:PDF | GTID:2454390008989369 | Subject:Health Sciences | Abstract/Summary: | | The goal of this thesis was to evaluate the cost-effectiveness of implantable Doppler technology (IDT) used to monitor free tissue transfer (FTT) procedures in the treatment of cancer of the upper aerodigestive tract (UADT).;The thesis found that the currently available evidence supports IDT as a cost-effective intervention. Further research should be directed towards determining the effectiveness of both traditional and IDT monitoring.;First, a systematic review of the literature on the effectiveness of traditional and IDT monitoring techniques was performed. Second, a utility survey using a time trade-off technique was created and administered. The results from this survey were used to establish utility values for health states common in patients undergoing FTT procedures. Third, a cost study using the microcosting data available through the Ottawa Hospital was performed. Finally, a decision analytic model was created and an economic evaluation from the payer perspective was completed. A probabilistic sensitivity analysis (PSA) and a value of information analysis (VOI) were performed. | Keywords/Search Tags: | IDT | | Related items |
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