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Cost-effectiveness of ventral hernia repair vs. watchful waiting - Evidence Based Reviews in Surgery - EBRS

Cost-effectiveness of ventral hernia repair vs. watchful waiting

Overview

Featured Article


Wolf L, Ejiofor J, Wang Y et al. Management of Reducible Ventral Hernias: Clinical Outcomes and Cost-effectiveness of Repair at Diagnosis Versus Watchful Waiting. Ann Surg 2017.

annuals of surgery pack

Expert Reviews


Methodological Reviewer: Kjetil Soreide, MD, PhD, Department of Surgery, University of Edinburgh

Clinical Reviewer: Alisa Coker, MD, Department of Surgery, John Hopkins University

Clinical Reviewer: Andrew Kirkpatrick, CD, MD, MHSc, FRCSC, FACS, Department of Surgery, University of Calgary

Supplementary Articles


Thoma A, Sprague S, Tandan V; for the Evidence-Based Surgery Working Group Users’ Guide to the Surgical Literature: How to Use an Article on Economic Analysis. CJS 2001;44(5):347-54

Questions


Please read the above articles and be prepared to discuss the following:

  1. What is the clinical question being addressed?
  2. Did the analysis provide a full economic comparison of health care strategies?
  3. Was a broad enough viewpoint adopted?
  4. Were all the relevant clinical strategies compared?
  5. Was clinical effectiveness established?
  6. Were costs measured accurately?
  7. Were data on costs and outcomes appropriately integrated?
  8. Was appropriate allowance made for uncertainties in the analysis?
  9. What were the incremental costs and outcomes of each strategy?
  10. Do incremental costs and outcomes differ between subgroups?
  11. State the conclusion. Have the authors addressed the clinical question posed?
  12. Does the evidence support the conclusion?