Surgery versus collagen for female stress urinary incontinence: economic assessment in Ontario and Quebec.

摘要: INTRODUCTION AND OBJECTIVE The purpose of this study was to evaluate the cost-effectiveness surgery versus collagen injection treat female stress urinary incontinence after failure initial surgical treatment. analysis conducted from health care system perspectives Ontario and Quebec. MATERIALS METHODS A decision-tree constructed compare each three surgeries (i.e., retropubic suspension, transvaginal sling procedures) with collagen. An average cost estimate generated for intervention, as an incremental ratio surgery-collagen comparison. RESULTS In both Quebec, treatment lowest (Ontario: = 2695 dollars; Quebec: 2718 dollars). However, had higher probabilities success (defined 'cure' - no urine leakage during follow-up examinations), point estimates at least.79 (.53 collagen). Incremental ratios base case analyses all comparisons indicated that cure additional patient could range 1824 dollars 6814 in 1388 3008 These were sensitive changes mean number injections patients a reduction length hospital stay 1 day. CONCLUSIONS Collagen may be cost-effective Quebec when is kept minimum stays are relatively lengthy. Otherwise, cost-effective.