Cost-effective faster wound healing with a sustained silver-releasing foam dressing in delayed healing leg ulcers - a health-economic analysis


Scanlon, Elizabeth, Karlsmark, Tonny, Leaper, David J., Carter, Kate, Poulsen, Peter B., Hart-Hansen, Kristian and Hahn, Tina W. (2005) Cost-effective faster wound healing with a sustained silver-releasing foam dressing in delayed healing leg ulcers - a health-economic analysis. International Wound Journal, 2, (2), 150-160. (doi:10.1111/j.1742-4801.2005.00083.x).

Download

[img] PDF - Version of Record
Restricted to RAE restricted

Download (1257Kb)

Description/Abstract

The aim of this analysis was to examine the cost-effectiveness of Contreet Foam (A) in comparison with three other commonly used venous leg ulcer treatment protocols: Aquacel Ag (B), Actisorb Silver (C) and Iodoflex (D). A health-economic analysis reflecting the UK treatment practice and cost structure was performed. The analysis was set up to assess the cost of relative wound area reduction over a 4-week treatment period. The model was validated by a UK expert panel consisting of four wound care specialists. To assure that the 4-week model had a realistic link to cost-effectiveness of complete wound healing, a Markov analysis was also performed. Sensitivity analyses were carried out to ensure validity. Protocol A and C proved to be the most effective treatments. The mean relative reduction in wound area after 4 weeks of treatment was 50·2% (protocol A), 23·9% (protocol B), 44·6% (protocol C) and 36·0% (protocol D). Cost-effectiveness ratios showed that protocol A proved to be the most cost-effective treatment, and protocol B the least. The cost per percentage reduction in wound area was £9·50 for protocol A, compared to £16·50–17·60 for the other treatment options. The cost-effectiveness of complete healing (Markov analysis) and sensitivity analyses confirmed these results. Using Contreet Foam instead of the other dressing alternatives may imply savings of £2·2–4·4 million per year to the National Health Service.

Item Type: Article
Digital Object Identifier (DOI): doi:10.1111/j.1742-4801.2005.00083.x
ISSNs: 1742-481X (print)
Related URLs:
Keywords: cost-effectiveness, contreet foam, silver, venous leg ulcer, antimicrobial treatment
Subjects: R Medicine > RT Nursing
R Medicine > RL Dermatology
Divisions: University Structure - Pre August 2011 > Superseded (SONM) > Superseded (LCHN)
ePrint ID: 40818
Date :
Date Event
June 2005Published
Date Deposited: 10 Jul 2006
Last Modified: 31 Mar 2016 12:11
URI: http://eprints.soton.ac.uk/id/eprint/40818

Actions (login required)

View Item View Item

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics