ECONOMIC IMPACT OF THE USE OF AN ABSORBABLE ADHESION BARRIER IN PREVENTING ADHESIONS FOLLOWING OPEN GYNECOLOGIC SURGERIES

Author(s)

Roy S*1;Carlton R2;Clark RS2, Migliaccio-Walle K2 1Johnson & Johnson Global Surgery Group, Somerville, NJ, USA, 2Xcenda, LLC, Palm Harbor, FL, USA

OBJECTIVES: Abdominal adhesions are common after gynecologic surgeries, often resulting in complications such as bowel obstruction and chronic pain, which may lead to increased length of stay and more frequent readmissions. GYNECARE INTERCEED® Absorbable Adhesion Barrier is associated with fewer adhesion-related outcomes compared to surgeries without an adhesion-barrier. This analysis assesses the budget impact of GYNECARE INTERCEED®for reducing the incidence of postoperative adhesions in open surgical gynecologic procedures. METHODS: A model was constructed to evaluate the budget impact to hospitals of adopting GYNECARE INTERCEED® for women undergoing open surgical gynecologic procedures. C-section surgery, hysterectomy, myomectomy, ovarian surgery, tubal surgery, and endometriosis surgery were modeled with and without the use of GYNECARE INTERCEED®. Incremental GYNECARE INTERCEED® material costs, medical costs arising from complications, and adhesion-related readmissions were considered. GYNECARE INTERCEED®use was assumed in 50% of all procedures. Budget impact was reported over a 3-year period from a US hospital perspective (US$2013). RESULTS: Assuming 100 gynecologic surgeries of each type and an average of one GYNECARE INTERCEED® sheet per surgery, a net savings of $439,975 with GYNECARE INTERCEED® over 3 years is estimated. GYNECARE INTERCEED® use resulted in 80 fewer patient cases developing adhesions. Although the use of GYNECARE INTERCEED® added $91,500 in material costs, this was completely offset by the reduction in complication costs ($230,766 savings) and fewer adhesion-related readmissions ($300,709 savings). By preventing adhesion-related complications, GYNECARE INTERCEED®prevented over 206 additional hospital days for patients. CONCLUSIONS: This analysis represents the first economic assessment of GYNECARE INTERCEED® use in open gynecologic surgeries that incorporates the cost of the adhesion barrier, complications, and readmissions. Adoption of GYNECARE INTERCEED® absorbable adhesion barrier for appropriate gynecologic surgeries would likely result in significant savings for hospitals which would largely be driven by clinical patient benefits in terms of fewer complications and adhesion-related readmissions.

Conference/Value in Health Info

2013-11, ISPOR Europe 2013, The Convention Centre Dublin

Value in Health, Vol. 16, No. 7 (November 2013)

Code

PIH8

Topic

Economic Evaluation

Topic Subcategory

Budget Impact Analysis

Disease

Pediatrics, Reproductive and Sexual Health

Explore Related HEOR by Topic


Your browser is out-of-date

ISPOR recommends that you update your browser for more security, speed and the best experience on ispor.org. Update my browser now

×