Cost-utility analysis of normothermic liver perfusion with the OrganOx


Journal

Journal of medical economics
ISSN: 1941-837X
Titre abrégé: J Med Econ
Pays: England
ID NLM: 9892255

Informations de publication

Date de publication:
Nov 2020
Historique:
pubmed: 31 7 2020
medline: 24 8 2021
entrez: 31 7 2020
Statut: ppublish

Résumé

Rising numbers of patients on the liver transplant waiting list has led to the utilization of organs from higher-risk donors that are more likely to be discarded and are prone to post-transplant complications. Storage and transportation of these livers at low temperatures can cause damage. OrganOx To evaluate the cost-utility of normothermic machine perfusion with OrganOx A de novo decision analytic model (a decision tree along with a Markov model), based on current treatment pathways, was developed to estimate the costs and outcomes. Results from a randomized clinical trial and national standard sources were used to inform the model. Costs were estimated from the National Health Service and Personal Social Services perspective. Deterministic and probabilistic sensitivity analyses (PSA) were conducted to explore uncertainty surrounding input parameters. Over a lifetime time horizon, liver transplantation with OrganOx Use of OrganOx

Sections du résumé

BACKGROUND BACKGROUND
Rising numbers of patients on the liver transplant waiting list has led to the utilization of organs from higher-risk donors that are more likely to be discarded and are prone to post-transplant complications. Storage and transportation of these livers at low temperatures can cause damage. OrganOx
OBJECTIVE OBJECTIVE
To evaluate the cost-utility of normothermic machine perfusion with OrganOx
METHODS METHODS
A de novo decision analytic model (a decision tree along with a Markov model), based on current treatment pathways, was developed to estimate the costs and outcomes. Results from a randomized clinical trial and national standard sources were used to inform the model. Costs were estimated from the National Health Service and Personal Social Services perspective. Deterministic and probabilistic sensitivity analyses (PSA) were conducted to explore uncertainty surrounding input parameters.
RESULTS RESULTS
Over a lifetime time horizon, liver transplantation with OrganOx
CONCLUSIONS CONCLUSIONS
Use of OrganOx

Identifiants

pubmed: 32729749
doi: 10.1080/13696998.2020.1804391
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1284-1292

Auteurs

Mehdi Javanbakht (M)

Optimax Access UK Ltd, University of Southampton Science Park, Chilworth, UK.
Device Access UK Ltd, Market Access Consultancy, University of Southampton Science Park, Chilworth, UK.

Atefeh Mashayekhi (A)

Optimax Access UK Ltd, University of Southampton Science Park, Chilworth, UK.
Device Access UK Ltd, Market Access Consultancy, University of Southampton Science Park, Chilworth, UK.

Miranda Trevor (M)

School of Medicine, Newcastle University, Newcastle upon Tyne, UK.

Michael Branagan-Harris (M)

Device Access UK Ltd, Market Access Consultancy, University of Southampton Science Park, Chilworth, UK.

Jowan Atkinson (J)

Device Access UK Ltd, Market Access Consultancy, University of Southampton Science Park, Chilworth, UK.

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Classifications MeSH