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- Talk
- 21/09/2022
- UK
Cost-Effectiveness Following Osseointegration for Transfemoral Amputation and the Relationship Between Pre and Post-Operative EQ5D Health Utility Value
Description
The presentation by Charles Handford focuses on osseointegration, a procedure for individuals with transfemoral amputations who struggle with traditional socket prosthetics. Handford presents the results of a study analyzing post-operative EQ5D scores and conducting a cost utility analysis of the APL implant used in osseointegration. He discusses the demographics of the studied cohort, consisting of 80 patients with a mean age of 39, mostly male and majority unilateral trauma cases.
The study compares EQ5D scores before and after the procedure, using prospectively collected data, and includes a cost analysis based on DMRC Stanford Hall costing methods. Initial findings show no significant improvement in the overall patient population's EQ5D scores, but a promising trend is identified among those with a pre-operative EQ5D score below 0.6, who demonstrated significant improvement post-surgery. The study concludes that osseointegration could be cost-effective for patients within this lower scoring group, advocating its candidacy as a second-line treatment for individuals not suited for conventional prosthetics. Handford emphasizes the necessity of further research and highlights the implications for adopting such a procedure in specialized centers in the UK.