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A Preliminary Cost-Utility Analysis of the Prosthetic Care Innovations: Basic Framework

A preliminary cost-utility analysis (CUA) of prosthetic care innovations can provide timely information during the early stage of product development and clinical usage. Concepts of preliminary CUAs are emerging. However, several obstacles must be overcome before these analyses are performed routine...

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Autor principal: Frossard, L
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Canadian Online Publication Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10443481/
https://www.ncbi.nlm.nih.gov/pubmed/37614995
http://dx.doi.org/10.33137/cpoj.v4i2.36365
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author Frossard, L
author_facet Frossard, L
author_sort Frossard, L
collection PubMed
description A preliminary cost-utility analysis (CUA) of prosthetic care innovations can provide timely information during the early stage of product development and clinical usage. Concepts of preliminary CUAs are emerging. However, several obstacles must be overcome before these analyses are performed routinely. Disparities of methods and high uncertainty make the outcomes of usual preliminary CUAs challenging to interpret, appraise and share. These shortcomings create opportunities for a basic framework of preliminary CUAs. First, I introduced a basic framework of a preliminary CUA built around a series of constructs and hands-on recommendations. Then, I appraised this framework considering the strengths and weaknesses, barriers and facilitators, and return on investment. The design of the basic framework was determined through the review of health economic and prosthetic-specific literature. A preliminary CUA comparing the costs and utilities between usual intervention and an innovation could be achieved through a 15-step iterative process focusing on feasibility, constructs, analysis, and interpretation of outcomes. This CUA provides sufficient evidence to identify knowledge gaps and improvement areas, educate about the design of subsequent full CUAs, and obtain fast-track approval from governing bodies. Like previous CUAs, the main limitations were inherent to the constructs (e.g., narrow perspective, plausible scenarios, mid-term time horizon, substantial assumptions, data mismatch, high uncertainty). Key facilitators potentially transferable across preliminary CUAs of prosthetic care innovations included choosing abided constructs, capitalizing on prior schedules of expenses, and benchmarking baseline or incremental utilities. This new approach with preliminary CUA can simplify the selection of methods, standardize outcomes, ease comparisons between innovations, and streamline pathways for adoption. Further collegial efforts toward validating standard preliminary CUAs will facilitate access to economic prosthetic care innovations, improving the lives of individuals suffering from limb loss worldwide.
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spelling pubmed-104434812023-08-23 A Preliminary Cost-Utility Analysis of the Prosthetic Care Innovations: Basic Framework Frossard, L Can Prosthet Orthot J Stakeholder Perspectives A preliminary cost-utility analysis (CUA) of prosthetic care innovations can provide timely information during the early stage of product development and clinical usage. Concepts of preliminary CUAs are emerging. However, several obstacles must be overcome before these analyses are performed routinely. Disparities of methods and high uncertainty make the outcomes of usual preliminary CUAs challenging to interpret, appraise and share. These shortcomings create opportunities for a basic framework of preliminary CUAs. First, I introduced a basic framework of a preliminary CUA built around a series of constructs and hands-on recommendations. Then, I appraised this framework considering the strengths and weaknesses, barriers and facilitators, and return on investment. The design of the basic framework was determined through the review of health economic and prosthetic-specific literature. A preliminary CUA comparing the costs and utilities between usual intervention and an innovation could be achieved through a 15-step iterative process focusing on feasibility, constructs, analysis, and interpretation of outcomes. This CUA provides sufficient evidence to identify knowledge gaps and improvement areas, educate about the design of subsequent full CUAs, and obtain fast-track approval from governing bodies. Like previous CUAs, the main limitations were inherent to the constructs (e.g., narrow perspective, plausible scenarios, mid-term time horizon, substantial assumptions, data mismatch, high uncertainty). Key facilitators potentially transferable across preliminary CUAs of prosthetic care innovations included choosing abided constructs, capitalizing on prior schedules of expenses, and benchmarking baseline or incremental utilities. This new approach with preliminary CUA can simplify the selection of methods, standardize outcomes, ease comparisons between innovations, and streamline pathways for adoption. Further collegial efforts toward validating standard preliminary CUAs will facilitate access to economic prosthetic care innovations, improving the lives of individuals suffering from limb loss worldwide. Canadian Online Publication Group 2021-09-21 /pmc/articles/PMC10443481/ /pubmed/37614995 http://dx.doi.org/10.33137/cpoj.v4i2.36365 Text en Copyright (c) 2021 Laurent Frossard https://creativecommons.org/licenses/by/4.0/This work is licensed under a Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Stakeholder Perspectives
Frossard, L
A Preliminary Cost-Utility Analysis of the Prosthetic Care Innovations: Basic Framework
title A Preliminary Cost-Utility Analysis of the Prosthetic Care Innovations: Basic Framework
title_full A Preliminary Cost-Utility Analysis of the Prosthetic Care Innovations: Basic Framework
title_fullStr A Preliminary Cost-Utility Analysis of the Prosthetic Care Innovations: Basic Framework
title_full_unstemmed A Preliminary Cost-Utility Analysis of the Prosthetic Care Innovations: Basic Framework
title_short A Preliminary Cost-Utility Analysis of the Prosthetic Care Innovations: Basic Framework
title_sort preliminary cost-utility analysis of the prosthetic care innovations: basic framework
topic Stakeholder Perspectives
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10443481/
https://www.ncbi.nlm.nih.gov/pubmed/37614995
http://dx.doi.org/10.33137/cpoj.v4i2.36365
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