An Economic Analysis of Implantable Doppler Technology in Head and Neck Reconstruction

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Title: An Economic Analysis of Implantable Doppler Technology in Head and Neck Reconstruction
Authors: Gupta, Michael
Date: 2012
Abstract: The goal of this thesis was to evaluate the cost-effectiveness of implantable Doppler technology (IDT) used to monitor free tissue transfer (FTT) procedures in the treatment of cancer of the upper aerodigestive tract (UADT). First, a systematic review of the literature on the effectiveness of traditional and IDT monitoring techniques was performed. Second, a utility survey using a time trade-off technique was created and administered. The results from this survey were used to establish utility values for health states common in patients undergoing FTT procedures. Third, a cost study using the microcosting data available through the Ottawa Hospital was performed. Finally, a decision analytic model was created and an economic evaluation from the payer perspective was completed. A probabilistic sensitivity analysis (PSA) and a value of information analysis (VOI) were performed. The thesis found that the currently available evidence supports IDT as a cost-effective intervention. Further research should be directed towards determining the effectiveness of both traditional and IDT monitoring.
URL: http://hdl.handle.net/10393/23230
http://dx.doi.org/10.20381/ruor-5974
CollectionThèses, 2011 - // Theses, 2011 -
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