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A model-based cost-utility analysis of multi-professional simulation training in obstetric emergencies
OBJECTIVE: To determine the cost-utility of a multi-professional simulation training programme for obstetric emergencies–Practical Obstetric Multi-Professional Training (PROMPT)–with a particular focus on its impact on permanent obstetric brachial plexus injuries (OBPIs). DESIGN: A model-based cost-...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7987166/ https://www.ncbi.nlm.nih.gov/pubmed/33755716 http://dx.doi.org/10.1371/journal.pone.0249031 |
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author | Yau, Christopher Wai Hung Lenguerrand, Erik Morris, Steve Draycott, Tim Pizzo, Elena |
author_facet | Yau, Christopher Wai Hung Lenguerrand, Erik Morris, Steve Draycott, Tim Pizzo, Elena |
author_sort | Yau, Christopher Wai Hung |
collection | PubMed |
description | OBJECTIVE: To determine the cost-utility of a multi-professional simulation training programme for obstetric emergencies–Practical Obstetric Multi-Professional Training (PROMPT)–with a particular focus on its impact on permanent obstetric brachial plexus injuries (OBPIs). DESIGN: A model-based cost-utility analysis. SETTING: Maternity units in England. POPULATION: Simulated cohorts of individuals affected by permanent OBPIs. METHODS: A decision tree model was developed to estimate the cost-utility of adopting annual, PROMPT training (scenario 1a) or standalone shoulder dystocia training (scenario 1b) in all maternity units in England compared to current practice, where only a proportion of English units use the training programme (scenario 2). The time horizon was 30 years and the analysis was conducted from an English National Health Service (NHS) and Personal Social Services perspective. A probabilistic sensitivity analysis was performed to account for uncertainties in the model parameters. MAIN OUTCOME MEASURES: Outcomes for the entire simulated period included the following: total costs for PROMPT or shoulder dystocia training (including costs of OBPIs), number of OBPIs averted, number of affected adult/parental/dyadic quality adjusted life years (QALYs) gained and the incremental cost per QALY gained. RESULTS: Nationwide PROMPT or shoulder dystocia training conferred significant savings (in excess of £1 billion ($1.5 billion)) compared to current practice, resulting in cost-savings of at least £1 million ($1.5 million) per any type of QALY gained. The probabilistic sensitivity analysis demonstrated similar findings. CONCLUSION: In this model, national implementation of multi-professional simulation training for obstetric emergencies (or standalone shoulder dystocia training) in England appeared to both be cost-saving when evaluating their impact on permanent OBPIs. |
format | Online Article Text |
id | pubmed-7987166 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-79871662021-04-02 A model-based cost-utility analysis of multi-professional simulation training in obstetric emergencies Yau, Christopher Wai Hung Lenguerrand, Erik Morris, Steve Draycott, Tim Pizzo, Elena PLoS One Research Article OBJECTIVE: To determine the cost-utility of a multi-professional simulation training programme for obstetric emergencies–Practical Obstetric Multi-Professional Training (PROMPT)–with a particular focus on its impact on permanent obstetric brachial plexus injuries (OBPIs). DESIGN: A model-based cost-utility analysis. SETTING: Maternity units in England. POPULATION: Simulated cohorts of individuals affected by permanent OBPIs. METHODS: A decision tree model was developed to estimate the cost-utility of adopting annual, PROMPT training (scenario 1a) or standalone shoulder dystocia training (scenario 1b) in all maternity units in England compared to current practice, where only a proportion of English units use the training programme (scenario 2). The time horizon was 30 years and the analysis was conducted from an English National Health Service (NHS) and Personal Social Services perspective. A probabilistic sensitivity analysis was performed to account for uncertainties in the model parameters. MAIN OUTCOME MEASURES: Outcomes for the entire simulated period included the following: total costs for PROMPT or shoulder dystocia training (including costs of OBPIs), number of OBPIs averted, number of affected adult/parental/dyadic quality adjusted life years (QALYs) gained and the incremental cost per QALY gained. RESULTS: Nationwide PROMPT or shoulder dystocia training conferred significant savings (in excess of £1 billion ($1.5 billion)) compared to current practice, resulting in cost-savings of at least £1 million ($1.5 million) per any type of QALY gained. The probabilistic sensitivity analysis demonstrated similar findings. CONCLUSION: In this model, national implementation of multi-professional simulation training for obstetric emergencies (or standalone shoulder dystocia training) in England appeared to both be cost-saving when evaluating their impact on permanent OBPIs. Public Library of Science 2021-03-23 /pmc/articles/PMC7987166/ /pubmed/33755716 http://dx.doi.org/10.1371/journal.pone.0249031 Text en © 2021 Yau et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Yau, Christopher Wai Hung Lenguerrand, Erik Morris, Steve Draycott, Tim Pizzo, Elena A model-based cost-utility analysis of multi-professional simulation training in obstetric emergencies |
title | A model-based cost-utility analysis of multi-professional simulation training in obstetric emergencies |
title_full | A model-based cost-utility analysis of multi-professional simulation training in obstetric emergencies |
title_fullStr | A model-based cost-utility analysis of multi-professional simulation training in obstetric emergencies |
title_full_unstemmed | A model-based cost-utility analysis of multi-professional simulation training in obstetric emergencies |
title_short | A model-based cost-utility analysis of multi-professional simulation training in obstetric emergencies |
title_sort | model-based cost-utility analysis of multi-professional simulation training in obstetric emergencies |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7987166/ https://www.ncbi.nlm.nih.gov/pubmed/33755716 http://dx.doi.org/10.1371/journal.pone.0249031 |
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