Economic value of diastasis repair with the use of mesh compared to no intervention in Italy

Carla Rognoni (), Alessandro Carrara, Micaela Piccoli, Vincenzo Trapani, Nereo Vettoretto, Giorgio Soliani and Rosanna Tarricone
Additional contact information
Carla Rognoni: Bocconi University
Alessandro Carrara: Ospedale Santa Chiara
Micaela Piccoli: UOC di Chirurgia Generale, d’Urgenza e Nuove Tecnologie dell’OCB (Ospedale Civile di Baggiovara), AOU (Azienda Ospedaliero Universitaria) di Modena
Vincenzo Trapani: UOC di Chirurgia Generale, d’Urgenza e Nuove Tecnologie dell’OCB (Ospedale Civile di Baggiovara), AOU (Azienda Ospedaliero Universitaria) di Modena
Nereo Vettoretto: UOC di Chirurgia Generale del Presidio Ospedaliero di Montichiari, AO Spedali Civili di Brescia
Giorgio Soliani: Azienda Ospedaliero Universitaria
Rosanna Tarricone: Bocconi University

The European Journal of Health Economics, 2024, vol. 25, issue 9, No 8, 1569-1580

Abstract: Abstract Aim Rectus abdominal diastasis (RAD) can cause mainly incontinence and lower-back pain. Despite its high incidence, there is no consensus regarding surgical indication. We aimed at comparing RAD repair (minimally invasive technique with mesh implant) with no treatment (standard of care – SOC) through cost-effectiveness and budget impact analyses from both National Healthcare Service (NHS) and societal perspectives in Italy. Methods A model was developed including social costs and productivity losses derived by the online administration of a socio-economic questionnaire, including the EuroQol for the assessment of quality of life. Costs for the NHS were based on reimbursement tariffs. Results Over a lifetime horizon, estimated costs were 64,115€ for SOC and 46,541€ for RAD repair in the societal perspective; QALYs were 19.55 and 25.75 for the two groups, respectively. Considering the NHS perspective, RAD repair showed an additional cost per patient of 5,104€ compared to SOC, leading to an ICUR of 824€. RAD repair may be either cost-saving or cost-effective compared to SOC depending on the perspective considered. Considering a current scenario of 100% SOC, an increased diffusion of RAD repair from 2 to 10% in the next 5 years would lead to an incremental cost of 184,147,624€ for the whole society (87% borne by the NHS) and to incremental 16,155 QALYs. Conclusion In light of the lack of economic evaluations for minimally invasive RAD repair, the present study provides relevant clinical and economic evidence to help improving the decision-making process and allocating scarce resources between competing ends.

Keywords: Rectus abdominal diastasis; RAD; Abdominoplasty; Cost-effectiveness; Budget impact; Economic evaluation; Synthetic mesh; Biosynthetic mesh; NHS; Society (search for similar items in EconPapers)
Date: 2024
References: View complete reference list from CitEc
Citations:

Downloads: (external link)
http://link.springer.com/10.1007/s10198-024-01685-z Abstract (text/html)
Access to the full text of the articles in this series is restricted.

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:spr:eujhec:v:25:y:2024:i:9:d:10.1007_s10198-024-01685-z

Ordering information: This journal article can be ordered from
http://www.springer. ... cs/journal/10198/PS2

DOI: 10.1007/s10198-024-01685-z

Access Statistics for this article

The European Journal of Health Economics is currently edited by J.-M.G.v.d. Schulenburg

More articles in The European Journal of Health Economics from Springer, Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ) Contact information at EDIRC.
Bibliographic data for series maintained by Sonal Shukla () and Springer Nature Abstracting and Indexing ().