The Library
Cost-effectiveness of a delayed pushing policy for patients with epidural anesthesia
Tools
Tools
Tools
Petrou, Stavros, Coyle, Douglas and Fraser, William D. (2000) Cost-effectiveness of a delayed pushing policy for patients with epidural anesthesia. American Journal of Obstetrics and Gynecology, 182 (5). pp. 1158-1164. doi:10.1067/mob.2000.104213 ISSN 0002-9378.
Research output not available from this repository.
Request-a-Copy directly from author or use local Library Get it For Me service.
Official URL: http://dx.doi.org/10.1067/mob.2000.104213
Abstract
Objective: The purpose of this study was to estimate the economic efficiency of a policy of delayed pushing for nulliparous women who have full dilatation while they are under epidural anesthesia. Study Design: A cost-effectiveness evaluation was based on a randomized controlled trial. Resource use and clinical effectiveness data were collected for 1862 women who were randomly allocated to either a delayed pushing group (n = 936) or an early pushing group (n = 926). Costs (in 1997 Canadian dollars) were collected for each item of resource use. Sensitivity analysis was used to examine the robustness of the main results. Results: Delayed pushing was effective at reducing the number of difficult deliveries (relative risk, 0.79; 95% confidence interval, 0.66 to 0.95). The mean cost of intrapartum care was significantly higher in the delayed pushing group ($625.86 vs $557.64; P < .0005). There were no significant differences in mean costs of postnatal care ($2146.67 vs $2133.54; P = .871) or total hospital care ($2772.53 vs $2691.18; P = .324). The incremental cost per difficult delivery prevented was estimated at $1743.06. The incremental cost-effectiveness ratio remained fairly robust with variations in the values of key parameters incorporated into the sensitivity analysis. Conclusions: The results of this economic evaluation should inform decision makers determining whether to advocate a policy of delayed pushing for nulliparous women who have full dilatation while they are under epidural anesthesia. (Am J Obstet Gynecol 2000;182:1158-64.)
| Item Type: | Journal Article | ||||
|---|---|---|---|---|---|
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
||||
| Journal or Publication Title: | American Journal of Obstetrics and Gynecology | ||||
| Publisher: | Mosby-Elsevier | ||||
| ISSN: | 0002-9378 | ||||
| Official Date: | 2000 | ||||
| Dates: |
|
||||
| Volume: | 182 | ||||
| Number: | 5 | ||||
| Page Range: | pp. 1158-1164 | ||||
| DOI: | 10.1067/mob.2000.104213 | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access |
Request changes or add full text files to a record
Repository staff actions (login required)
 |
View Item |
