Iglesias, C.P., Nelson, E.A., Cullum, N. and Torgerson, D.J. (2004) Economic analysis of VenUS I, a randomized trial of two bandages for treating venous leg ulcers. British Journal of Surgery, 91 (10). pp. 1300-1306. ISSN 0007-1323
Background: The study investigated the cost-effectiveness of four-layer and short-stretch compression bandages for treating venous leg ulcers.
Methods: Cost-effectiveness and cost-utility analyses were performed using patient-level data collected alongside the VenUS I leg ulcer study. The perspective for the economic analysis was that of the UK National Health Service (NHS) and Personal Social Service. The time horizon for the analysis was 1 year after recruitment. Health benefit was measured as differences in ulcer-free days and quality-adjusted life years (QALYs).
Results: The mean healing time for ulcers treated with four-layer bandages was 10·9 (95 per cent confidence interval (c.i.) -6·8 to 29·1) days less than that for ulcers treated with short-stretch bandages. Mean average difference in QALYs between compression systems was -0·02 (95 per cent c.i. -0·08 to 0·04). The four-layer bandage cost a mean of £227·32 (95 per cent c.i. £16·53 to £448 ·30) less per patient per year than the short-stretch bandage.
Conclusion: On average, four-layer bandaging was associated with greater health benefits and lower costs than short-stretch bandaging.
|Institution:||The University of York|
|Academic Units:||The University of York > Health Sciences (York)|
|Depositing User:||York RAE Import|
|Date Deposited:||11 Aug 2009 15:29|
|Last Modified:||11 Aug 2009 15:29|
|Publisher:||John Wiley & Sons, Ltd|