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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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Official URL: http://dx.doi.org/10.1007/s00167-019-05477-4

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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
Subjects: R Medicine > RD Surgery
Divisions: Faculty of Medicine > Warwick Medical School > Health Sciences > Clinical Trials Unit
Faculty of Medicine > Warwick Medical School > Health Sciences
Faculty of Medicine > Warwick Medical School
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:
DateEvent
June 2019Published
22 March 2019Available
21 March 2019Accepted
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:
Project/Grant IDRIOXX Funder NameFunder ID
UNSPECIFIEDEuropean Society of Sports Traumatology, Knee Surgery and Arthroscopyhttp://viaf.org/viaf/134546733

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