Meaume S, Gemmen E, et al.
Journal of wound care. Date of publication 2002 Jun 1;volume 11(6):219-24.
1. J Wound Care. 2002 Jun;11(6):219-24.
Cost-effectiveness of wound management in France: pressure ulcers and venous leg
ulcers.
Meaume S(1), Gemmen E.
Author information:
(1)Department of Geriatrics, Groupe Hospitalier Charles Foix, Ivry-sur-Seine,
France. sylvie.meaume@cfx.aphop-paris.fr
OBJECTIVES: This study set out to define realistic protocols of care for the
treatment of chronic venous leg ulcers and pressure ulcers in France and, by
developing cost-effectiveness models, to compare the different protocols of care
for the two ulcer groups, enabling a calculation of direct medical costs per
ulcer healed in a typical French health insurance plan.
METHOD: Clinical outcomes and some treatment patterns were obtained from
published literature. Validations of different treatment patterns were developed
using an expert consensus panel similar to the Delphi approach. Costs were
calculated based on national averages and estimates from the UK and Germany. The
models were used to measure costs per healed ulcer over a 12-week period.
RESULTS: For both the pressure ulcer and venous leg ulcer models, three protocols
of care were identified. For pressure ulcers and venous leg ulcers, the
hydrocolloid DuoDERM (ConvaTec, also known as Granuflex in the UK and Varihesive
in Germany) was most cost-effective in France.
CONCLUSION: The combination of published data and expert consensus opinion is a
valid technique, and in this case suggests that treating pressure ulcers and
venous leg ulcers with hydrocolloid dressings is more cost-effective than
treating them with saline gauze, in spite of the lower unit cost of the latter.
DOI: 10.12968/jowc.2002.11.6.26408
PMID: 12096580 [Indexed for MEDLINE]
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