Katherine Stevens (School of Health and Related Research (ScHARR), Health Economics and Decision Science, University of Sheffield, Sheffield, England) Christopher McCabe (School of Health and Related Research (ScHARR), Health Economics and Decision Science, University of Sheffield, Sheffield, England) Carys Jones (Intensive Care National Audit & Research Centre (ICNARC), London, England) Joanne Ashcroft (Intensive Care National Audit & Research Centre (ICNARC), London, England) Sheila Harvey (Intensive Care National Audit & Research Centre (ICNARC), London, England) Kathy Rowan (Intensive Care National Audit & Research Centre (ICNARC), London, England)
Abstract
Objective: The objective of this study was to conduct an economic evaluation to identify any differences in the expected costs and outcomes between patients treated with pulmonary artery catheters (PACs) and those without, in order to better inform healthcare decision makers. Method: The evaluation was carried out alongside a clinical trial investigating the use of PACs in intensive care units (ICUs) in the UK. It was conducted from the perspective of the UK NHS, in which PACs are an established intervention. Treating patients without using a PAC was characterised as the new intervention. The primary outcome measure was QALYs. The secondary outcome measure was hospital mortality. NHS costs per patient were calculated for the financial year 2002/03. The bootstrap method was used to characterise the uncertainty of the results and to construct cost-effectiveness acceptability curves. Results: The cost per QALY and per life gained from the withdrawal of PACs were Lstg 2892 and Lstg 21_164, respectively. Conclusion: The results of this study indicate that withdrawal of PACs from routine clinical use in ICUs within the NHS would be considered cost effective in the current decision-making climate.
Download Info
To download:
If you experience problems downloading a file, check if you have the
proper application to
view it first. Information about this may be contained
in the File-Format links below. In case of further problems read
the IDEAS help
file. Note that these files are not on the IDEAS
site. Please be patient as the files may be large.
As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.
Find related papers by JEL classification: C - Mathematical and Quantitative Methods D - Microeconomics I - Health, Education, and Welfare Z - Other Special Topics I1 - Health, Education, and Welfare - - Health I19 - Health, Education, and Welfare - - Health - - - Other I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets