The cost-effectiveness of postoperative recovery of RBCs in preventing transfusion-associated virus transmission after joint arthroplasty

Citation
Br. Jackson et al., The cost-effectiveness of postoperative recovery of RBCs in preventing transfusion-associated virus transmission after joint arthroplasty, TRANSFUSION, 40(9), 2000, pp. 1063-1066
Citations number
29
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Hematology,"Cardiovascular & Hematology Research
Journal title
TRANSFUSION
ISSN journal
0041-1132 → ACNP
Volume
40
Issue
9
Year of publication
2000
Pages
1063 - 1066
Database
ISI
SICI code
0041-1132(200009)40:9<1063:TCOPRO>2.0.ZU;2-0
Abstract
BACKGROUND: The return of joint drainage after hip and knee arthroplasty is a widely used but expensive blood-conservation technique. STUDY DESIGN AND METHODS: A Markov decision analysis model was used to eval uate the cost-effectiveness of postoperative RBC recovery in preventing vir al complications of allogeneic transfusion. RESULTS: In the baseline analysis, using an RBC-recovery device saves 5 qua lity-adjusted minutes of longevity at an average incremental cost of $53. T his corresponds to $5.7 million per quality-adjusted life year. This figure was most sensitive to the direct cost differences of allogeneic versus rec overed RBCs and to the volume of RBCs recovered per device. Such devices wo uld save health care resources if they cost less than $73 or if they were a pplied only in cases where joint drainage was between 600 and 1100 mi. CONCLUSION: For most clinical situations, postarthroplasty RBC recovery doe s not appear to be as cost-effective as most other medical interventions. C linical attention should be directed toward developing protocols for the pr eferential use of postoperative RBC-recovery devices in situations where th ey provide the greatest benefit.