Can choices between alternative hip prostheses be evidence based? a review of the economic evaluation literature

Davies, Charlotte, Lorgelly, Paula, Shemilt, Ian, Mugford, Miranda, Tucker, Keith and MacGregor, Alexander ORCID: https://orcid.org/0000-0003-2163-2325 (2010) Can choices between alternative hip prostheses be evidence based? a review of the economic evaluation literature. Cost Effectiveness and Resource Allocation, 8. ISSN 1478-7547

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Abstract

Background: Total hip replacement surgery places a considerable financial burden on health services and society. Given the large number of hip prostheses available to surgeons, reliable economic evidence is crucial to inform resource allocation decisions. This review summarises published economic evidence on alternative hip prostheses to examine the potential for the literature to inform resource allocation decisions in the UK. Methods: We searched nine medical and economics electronic databases. 3,270 studies were initially identified, 17 studies were included in the review. Studies were critically appraised using three separate guidelines. Results: Several methodological problems were identified including a lack of observed long term prosthesis survival data, limited up-to-date and UK based evidence and exclusion of patient and societal perspectives. Conclusions: More clinical trials including long term follow-up and economic evaluation are needed. These should compare the cost-effectiveness of different prostheses with longer-term follow-up and including a wider perspective.

Item Type: Article
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 Social Sciences > Research Centres > Centre for Competition Policy
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 > Public Health and Health Services Research
Faculty of Medicine and Health Sciences > Research Groups > Nutrition and Preventive Medicine
Faculty of Medicine and Health Sciences > Research Groups > Musculoskeletal Medicine
Faculty of Medicine and Health Sciences > Research Groups > Epidemiology and Public Health
Depositing User: Val Knights
Date Deposited: 01 Mar 2011 11:45
Last Modified: 22 Apr 2023 00:15
URI: https://ueaeprints.uea.ac.uk/id/eprint/24646
DOI: 10.1186/1478-7547-8-20

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