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COST-EFFECTIVENESS OF ADJUNCTIVE HYPERBARIC OXYGEN IN THE TREATMENT OF DIABETIC ULCERS

Published online by Cambridge University Press:  21 April 2004

Shien Guo ,
Michael A. Counte ,
Kathleen N. Gillespie  and
Homer Schmitz
Shien Guo
Affiliation:
Saint Louis University
Michael A. Counte
Affiliation:
Saint Louis University
Kathleen N. Gillespie
Affiliation:
Saint Louis University
Homer Schmitz
Affiliation:
Saint Louis University
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Abstract

Objectives: This study estimates the cost-effectiveness (CE) of the adjunctive use of hyperbaric oxygen (HBO2) therapy in the treatment of diabetic ulcers based on the payer's and societal perspectives.

Methods: The study population was a hypothetical cohort of 1,000 patients sixty years of age with severe diabetic foot ulcers. A decision tree model was constructed to estimate the CE of HBO2 therapy in the treatment of diabetic ulcers at years 1, 5, and 12. Scenario and one-way sensitivity analyses were also undertaken to identify parameters that may significantly influence the estimates.

Results: The CE model estimated that the incremental cost per additional quality-adjusted life year (QALY) gained at years 1, 5, and 12, was $27,310, $5,166, and $2,255, respectively.

Conclusions: The study results indicate that HBO2 therapy in the treatment of diabetic ulcers is cost-effective, particularly based on a long-term perspective. However, the results are limited by the clinical studies that provide the basis of the CE estimation.

Keywords

Hyperbaric oxygenDiabetic ulcersCost-effectivenessTechnology assessment
Type
RESEARCH NOTES
Information
International Journal of Technology Assessment in Health Care , Volume 19 , Issue 4 , December 2003 , pp. 731 - 737
Copyright
© 2004 Cambridge University Press

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