Cost-utility Analysis of Vertebroplasty versus Thoracolumbosacral Orthosis in the Treatment of Traumatic Vertebral Fractures

Nadia Yakhelef, Martine Audibert (), Bruno Peirera, Antoine Mons and Emmanuel Chabert
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Nadia Yakhelef: CERDI - Centre d'Études et de Recherches sur le Développement International - UdA - Université d'Auvergne - Clermont-Ferrand I - CNRS - Centre National de la Recherche Scientifique
Martine Audibert: CERDI - Centre d'Études et de Recherches sur le Développement International - UdA - Université d'Auvergne - Clermont-Ferrand I - CNRS - Centre National de la Recherche Scientifique
Bruno Peirera: DRCI - Délégation à la recherche clinique et à l'innovation - DRCI - Délégation à la Recherche Clinique et à l'Innovation - AP-HP - Assistance publique - Hôpitaux de Paris (AP-HP)
Antoine Mons: CHU Gabriel Montpied [Clermont-Ferrand] - CHU Clermont-Ferrand
Emmanuel Chabert: CHU Gabriel Montpied [Clermont-Ferrand] - CHU Clermont-Ferrand

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Abstract: Purpose: To evaluate the cost-utility of Vertebroplasty versus conservative therapy (Thoracolumbosacral orthosis) for treatment of post-traumatic non-osteoporotic and/or non-neoplastic fractures. Materials and Methods: A prospective, randomized, non-blinded, single-center study was carried out between 2010 and 2013. The study included 99 patients, aged from 18 years to 70 years, suffering from acute non-osteoporotic vertebral fracture. We compared costs and Quality-Adjusted Life Years and assessed the Incremental Cost-Effectiveness Ratio for the two arm groups. Health insurance, patient and societal perspectives are considered. Results: For health insurance perspective, total cost was €7,267 for the brace group versus €7,365 for the vertebroplasty group (mean difference €75.3; p

Keywords: Health economic assessment; Cost-utility; QALY; SF-36; SF-6D; Vertebroplasty; TLSO; Clinical (search for similar items in EconPapers)
Date: 2015-12-11
Note: View the original document on HAL open archive server: https://shs.hal.science/halshs-01241824
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