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  4. Publikationen School of Management and Law
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dc.contributor.authorGrobet, Cécile-
dc.contributor.authorEichler, Klaus-
dc.contributor.authorFlury, Matthias-
dc.contributor.authorMeier, Flurina-
dc.contributor.authorWieser, Simon-
dc.contributor.authorBrunner, Beatrice-
dc.contributor.authorSchwyzer, Hans-Kaspar-
dc.contributor.authorAudigé, Laurent-
dc.date.accessioned2021-10-08T15:25:04Z-
dc.date.available2021-10-08T15:25:04Z-
dc.date.issued2021-
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/23282-
dc.description.abstractTo examine the influence of arthroscopic rotator cuff repair (aRCR) on quality of life (QOL), direct medical costs and productivity losses, and evaluate the cost-utility ratio of aRCR compared to an alternative scenario of ongoing nonoperative (nonOP) management from a societal perspective in Switzerland. Methods: Patients indicated for aRCR were included in a prospective study and followed up to two years after surgery (postOP) for all measurements. QOL (EQ-5D-5L) and shoulder function (Constant Score, Oxford Shoulder Score, Subjective Shoulder Value) were assessed. Sixteen major insurance companies provided all-diagnoses direct medical costs and patients reported their loss of productivity using the Work Productivity and Activity Impairment Questionnaire. Baseline data at recruitment and costs sustained over one year before (preOP) surgery served as a proxy for nonOP management. Total direct medical costs to gain one extra quality-adjusted life year (QALY) were calculated as the incremental cost-effectiveness ratio (ICER; mean of 2 years postOP compared to 1 year preOP control period). Subgroup analyses were separately performed for traumatic (Trauma-OP) and degenerative (Degen-OP) rotator cuff tear patients. Sensitivity analyses for aRCR patients included intensive nonOP treatment with corresponding QOL gain. The relationship between QOL and shoulder function was explored using regression analysis. Results: For 153 aRCR patients (mean age 57 years; 63% male), the mean EQ-5D index improved from 0.71 (preOP) to 0.94 (1 year postOP) and 0.96 (2 years postOP). Mean total costs increased from 5,499 Swiss Francs (CHF) (preOP) to 17,116 CHF (1 year postOP), then decreased to 4,226 CHF (2 years postOP). The ICER for all aRCR patients was 24,924 CHF/QALY (95%CI: 16,742 to 33,106) and 17,357 CHF/QALY (95%CI: 10,951 to 23,763) and 36,474 CHF/QALY (95%CI: 16,301 to 56,648) for the Trauma-OP and Degen-OP groups, respectively. One-hundred-and-six from 110 working patients returned to work on average 77 days after surgery. Mean productivity losses for the aRCR group were 42,001 CHF per patient in the year before surgery and decreased to 5,415 CHF until 2 years after surgery. QOL and shoulder function were significantly associated (p < 0> Conclusions: For RC patients treated at a specialized Swiss orthopedic clinic, aRCR is a cost-effective intervention associated with clinically relevant improvement in QOL and productivity gains up to 2 years after repair compared to prior nonOP management.de_CH
dc.language.isoende_CH
dc.rightsLicence according to publishing contractde_CH
dc.subject.ddc362.1041: Gesundheitsökonomiede_CH
dc.titleCost-utility analysis of arthroscopic rotator cuff repair : real-world data of reintegrationde_CH
dc.typeKonferenz: Sonstigesde_CH
dcterms.typeTextde_CH
zhaw.departementSchool of Management and Lawde_CH
zhaw.organisationalunitWinterthurer Institut für Gesundheitsökonomie (WIG)de_CH
zhaw.conference.detailsEUMASS Congress & SIM Annual Meeting, online, 16-17 September 2021de_CH
zhaw.funding.euNode_CH
zhaw.originated.zhawYesde_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.publication.reviewKeine Begutachtungde_CH
zhaw.author.additionalNode_CH
zhaw.display.portraitYesde_CH
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Grobet, C., Eichler, K., Flury, M., Meier, F., Wieser, S., Brunner, B., Schwyzer, H.-K., & Audigé, L. (2021). Cost-utility analysis of arthroscopic rotator cuff repair : real-world data of reintegration. EUMASS Congress & SIM Annual Meeting, Online, 16-17 September 2021.
Grobet, C. et al. (2021) ‘Cost-utility analysis of arthroscopic rotator cuff repair : real-world data of reintegration’, in EUMASS Congress & SIM Annual Meeting, online, 16-17 September 2021.
C. Grobet et al., “Cost-utility analysis of arthroscopic rotator cuff repair : real-world data of reintegration,” in EUMASS Congress & SIM Annual Meeting, online, 16-17 September 2021, 2021.
GROBET, Cécile, Klaus EICHLER, Matthias FLURY, Flurina MEIER, Simon WIESER, Beatrice BRUNNER, Hans-Kaspar SCHWYZER und Laurent AUDIGÉ, 2021. Cost-utility analysis of arthroscopic rotator cuff repair : real-world data of reintegration. In: EUMASS Congress & SIM Annual Meeting, online, 16-17 September 2021. Conference presentation. 2021
Grobet, Cécile, Klaus Eichler, Matthias Flury, Flurina Meier, Simon Wieser, Beatrice Brunner, Hans-Kaspar Schwyzer, and Laurent Audigé. 2021. “Cost-Utility Analysis of Arthroscopic Rotator Cuff Repair : Real-World Data of Reintegration.” Conference presentation. In EUMASS Congress & SIM Annual Meeting, Online, 16-17 September 2021.
Grobet, Cécile, et al. “Cost-Utility Analysis of Arthroscopic Rotator Cuff Repair : Real-World Data of Reintegration.” EUMASS Congress & SIM Annual Meeting, Online, 16-17 September 2021, 2021.


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