Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Can choices between alternative hip prostheses be evidence based? a review of the economic evaluation literature. | Davies et al. Cost Effectiveness and Resource Allocation 2010 8 20 http content 8 1 20 COST EFFECTIVENESS AND RESOURCE ALLOCATION REVIEW Open Access Can choices between alternative hip prostheses be evidence based a review of the economic evaluation literature 1 2 1 1 3 1 Charlotte Davies Paula Lorgelly Ian Shemilt Miranda Mugford Keith Tucker Alex MacGregor Abstract Background Total hip replacement surgery places a considerable financial burden on health services and society. Given the large number of hip prostheses available to surgeons reliable economic evidence is crucial to inform resource allocation decisions. This review summarises published economic evidence on alternative hip prostheses to examine the potential for the literature to inform resource allocation decisions in the UK. Methods We searched nine medical and economics electronic databases. 3 270 studies were initially identified 17 studies were included in the review. Studies were critically appraised using three separate guidelines. Results Several methodological problems were identified including a lack of observed long term prosthesis survival data limited up-to-date and UK based evidence and exclusion of patient and societal perspectives. Conclusions More clinical trials including long term follow-up and economic evaluation are needed. These should compare the cost-effectiveness of different prostheses with longer-term follow-up and including a wider perspective. Background About 8 million people in the UK have osteoarthritis OA 1 . Patients typically experience chronic pain and loss of physical function with an impact on society of lost productivity and increased burden on domiciliary informal care. For those with end stage hip disease total hip replacement THR surgery offers the only effective treatment. Over 70 000 THR operations were carried out in England and Wales in 2008 9 2 with the number almost doubling in the last decade. As the population continues to age
