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Keogh-Brown, M. R., Fordham, R. J. 
ORCID: https://orcid.org/0000-0002-5520-6255, Thomas, K. S., Bachmann, M. O. ORCID: https://orcid.org/0000-0003-1770-3506, Holland, R. C., Avery, A. J., Armstrong, S. J., Chalmers, J. R., Howe, A. C., Rodgers, S., Williams, H. C. and Harvey, I. M.
(2007)
To freeze or not to freeze: a cost-effectiveness analysis of wart treatment.
British Journal of Dermatology, 156 (4).
687–692.
ISSN 1365-2133
Abstract
Background: Several general practitioner (GP)-prescribed and over-the-counter therapies for warts and verrucae are available. However, the cost-effectiveness of these treatments is unknown. Objectives: To compare the cost-effectiveness of different treatments for cutaneous warts. Methods: We designed a decision-analytic Markov simulation model based on systematic review evidence to estimate the cost-effectiveness of various treatments. The outcome measures studied are percentage of patients cured, cost of treatment and incremental cost-effectiveness ratio for each treatment, compared with no treatment, after 18 weeks. Results: Duct tape was most cost-effective but published evidence of its effectiveness is sparse. Salicylic acid was the most cost-effective over-the-counter treatment commonly used. Cryotherapy administered by a GP was less cost-effective than GP-prescribed salicylic acid and less cost-effective than cryotherapy administered by a nurse. Conclusions: Duct tape could be adopted as the primary treatment for cutaneous warts if its effectiveness is verified by further rigorous trials. Nurse-administered cryotherapy is likely to be more cost-effective than GP-administered cryotherapy.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | cryotherapy,decision analysis,markov model,salicylic acid |
| Faculty \ School: | Faculty of Medicine and Health Sciences > Norwich Medical School |
| UEA Research Groups: | Faculty of Medicine and Health Sciences > Research Groups > Health Economics Faculty of Medicine and Health Sciences > Research Groups > Public Health and Health Services Research (former - to 2023) Faculty of Science > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Groups > Health Services and Primary Care Faculty of Medicine and Health Sciences > Research Centres > Population Health |
| Depositing User: | EPrints Services |
| Date Deposited: | 25 Nov 2010 11:11 |
| Last Modified: | 21 Dec 2023 01:34 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/14284 |
| DOI: | 10.1111/j.1365-2133.2007.07768.x |
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