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Allografts in reconstruction of the posterior cruciate ligament : a health economics perspective
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Waugh, Norman, Mistry, Hema, Metcalfe, Andrew J., Colquitt, Jill, Loveman, Emma, Royle, Pamela and Smith, Nick A. (2019) Allografts in reconstruction of the posterior cruciate ligament : a health economics perspective. Knee Surgery, Sports Traumatology, Arthroscopy, 27 (6). pp. 1810-1816. doi:10.1007/s00167-019-05477-4
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WRAP-allografts-reconstruction-posterior-cruciate-ligament-health-economics-perspective-Waugh-2019.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution 4.0. Download (607Kb) | Preview |
Official URL: http://dx.doi.org/10.1007/s00167-019-05477-4
Abstract
Purpose
To review the relative cost-effectiveness of allografts and autografts in reconstruction of the posterior cruciate ligament.
Methods
Systematic review and cost-effectiveness analysis.
Results
The available evidence does not show any significant difference in clinical effectiveness between autografts and allografts. Given that, only a cost analysis is provided, which shows that allografts are more costly.
Conclusion
Given the lack of any benefit of allografts over autografts, autografts should be preferred on cost grounds, if available. However, there may be situations where an allograft is indicated, for example, in multiple ligament reconstructions.
Level of evidence
IV.
| Item Type: | Journal Article | ||||||||
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| Subjects: | R Medicine > RD Surgery | ||||||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Cruciate ligaments -- Surgery -- Cost effectiveness, Medical economics | ||||||||
| Journal or Publication Title: | Knee Surgery, Sports Traumatology, Arthroscopy | ||||||||
| Publisher: | Springer | ||||||||
| ISSN: | 0942-2056 | ||||||||
| Official Date: | June 2019 | ||||||||
| Dates: |
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| Volume: | 27 | ||||||||
| Number: | 6 | ||||||||
| Page Range: | pp. 1810-1816 | ||||||||
| DOI: | 10.1007/s00167-019-05477-4 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Open Access | ||||||||
| RIOXX Funder/Project Grant: |
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