Ferramenta para análise custo-efetividade no tratamento das úlceras venosas
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=5052728 http://repositorio.unifesp.br/handle/11600/50181 |
Resumo: | Introduction: Venous ulcers (VUs) require long-term treatments, representing a serious problem for health systems. Cost-effectiveness analyzes can be time-consuming and costly. However, the creation of a tool can provide useful preliminary results to managers and health professionals. Objective: To develop a tool for cost-effectiveness analysis in the treatment of venous ulcers. Methods: Spreadsheets were constructed in Excel® for the collection and comparison of matched-paired data of patients from two different treatment groups. Formulas were inserted to calculate the mean total cost and effectiveness of treatment for each group, as well as the incremental cost-effectiveness ratio (ICER) between two groups. Published data from a study comparing the cost-effectiveness of compression treatments using elastic bandage (Tr1) and Unna’s boot (Tr2) were used to demonstrate the applicability of the tool. The usability of the tool was tested with nurses specialized in the area, using a questionnaire. Results: The created tool enables the analysis of cost-effectiveness between two groups of patients with VUs who received different treatments, using retrospective and prospective data. In the demonstration of its applicability, the tool showed that Tr1 had a lower cost and lower effectiveness compared with Tr2 after 13weeks of treatment. The ICER was R$5,543.20 per additional reduction in Tr1. The tool was considered useful for decision making by all nurse who participated in the usability test. Conclusion: A tool was developed for cost-effectiveness analysis in the treatment of venous ulcers. |
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Ferramenta para análise custo-efetividade no tratamento das úlceras venosasCost-effectiveness analysis of treatments for venous ulcersCosts and cost analysisVaricose ulcerWound healingEffectivenessÚlcera varicosaEfetividadeCicatrizaçãoCustos e análise de custoIntroduction: Venous ulcers (VUs) require long-term treatments, representing a serious problem for health systems. Cost-effectiveness analyzes can be time-consuming and costly. However, the creation of a tool can provide useful preliminary results to managers and health professionals. Objective: To develop a tool for cost-effectiveness analysis in the treatment of venous ulcers. Methods: Spreadsheets were constructed in Excel® for the collection and comparison of matched-paired data of patients from two different treatment groups. Formulas were inserted to calculate the mean total cost and effectiveness of treatment for each group, as well as the incremental cost-effectiveness ratio (ICER) between two groups. Published data from a study comparing the cost-effectiveness of compression treatments using elastic bandage (Tr1) and Unna’s boot (Tr2) were used to demonstrate the applicability of the tool. The usability of the tool was tested with nurses specialized in the area, using a questionnaire. Results: The created tool enables the analysis of cost-effectiveness between two groups of patients with VUs who received different treatments, using retrospective and prospective data. In the demonstration of its applicability, the tool showed that Tr1 had a lower cost and lower effectiveness compared with Tr2 after 13weeks of treatment. The ICER was R$5,543.20 per additional reduction in Tr1. The tool was considered useful for decision making by all nurse who participated in the usability test. Conclusion: A tool was developed for cost-effectiveness analysis in the treatment of venous ulcers.Introdução: As úlceras venosas (UVs) requerem tratamentos longos, representando um problema grave para sistemas de saúde. As análises de custo-efetividade podem ser demoradas e dispendiosas. Porém, a criação de uma ferramenta pode fornecer resultados preliminares úteis a gestores e profissionais de saúde. Objetivo: Desenvolver uma ferramenta para análise de custo-efetividade no tratamento de úlceras venosas. Métodos: Planilhas foram construídas em Excel® para a coleta e comparação de dados de dois grupos de pacientes com UV tratados com intervenções diferentes. Fórmulas foram inseridas para calcular o custo total médio e a efetividade do tratamento de cada grupo, e para calcular a razão custo-efetividade incremental (RCEI) entre dois grupos. A aplicabilidade da ferramenta foi demonstrada com dados publicados de um estudo que comparou a relação custo-efetividade de tratamentos de compressão que utilizaram bandagem elástica (Tr1) com bota de Unna (Tr2). A usabilidade da ferramenta foi testada com enfermeiros especialistas na área por meio de um questionário. Resultados: A ferramenta criada possibilita análises de custo-efetividade entre dois grupos de pacientes com UVs tratados com intervenções diferentes, a partir de dados retrospectivos e prospectivos. Na demonstração de sua aplicabilidade, a ferramenta mostrou que o Tr1 apresentou menor custo e foi menos efetivo que Tr2 após 13 semanas de tratamento. A RCEI foi de R$5.543,20 por redução adicional para o Tr1. A ferramenta foi considerada útil para tomadas de decisão por todos os enfermeiros que participaram do teste de usabilidade. Conclusão: Foi desenvolvida uma ferramenta para análise de custo-efetividade no tratamento de úlceras venosas.Dados abertos - Sucupira - Teses e dissertações (2017)Universidade Federal de São Paulo (UNIFESP)Horibe, Elaine Kawano [UNIFESP]Blanes, Leila [UNIFESP]http://lattes.cnpq.br/1898450330418640http://lattes.cnpq.br/5423291926154188http://lattes.cnpq.br/9630160986425728Universidade Federal de São Paulo (UNIFESP)Aron, Suzana [UNIFESP]2019-06-19T14:57:33Z2019-06-19T14:57:33Z2017-06-22info:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/publishedVersion81 f.application/pdfhttps://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=5052728http://repositorio.unifesp.br/handle/11600/50181porSão Pauloinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-02T16:09:01Zoai:repositorio.unifesp.br/:11600/50181Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-08-02T16:09:01Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.fl_str_mv |
Ferramenta para análise custo-efetividade no tratamento das úlceras venosas Cost-effectiveness analysis of treatments for venous ulcers |
title |
Ferramenta para análise custo-efetividade no tratamento das úlceras venosas |
spellingShingle |
Ferramenta para análise custo-efetividade no tratamento das úlceras venosas Aron, Suzana [UNIFESP] Costs and cost analysis Varicose ulcer Wound healing Effectiveness Úlcera varicosa Efetividade Cicatrização Custos e análise de custo |
title_short |
Ferramenta para análise custo-efetividade no tratamento das úlceras venosas |
title_full |
Ferramenta para análise custo-efetividade no tratamento das úlceras venosas |
title_fullStr |
Ferramenta para análise custo-efetividade no tratamento das úlceras venosas |
title_full_unstemmed |
Ferramenta para análise custo-efetividade no tratamento das úlceras venosas |
title_sort |
Ferramenta para análise custo-efetividade no tratamento das úlceras venosas |
author |
Aron, Suzana [UNIFESP] |
author_facet |
Aron, Suzana [UNIFESP] |
author_role |
author |
dc.contributor.none.fl_str_mv |
Horibe, Elaine Kawano [UNIFESP] Blanes, Leila [UNIFESP] http://lattes.cnpq.br/1898450330418640 http://lattes.cnpq.br/5423291926154188 http://lattes.cnpq.br/9630160986425728 Universidade Federal de São Paulo (UNIFESP) |
dc.contributor.author.fl_str_mv |
Aron, Suzana [UNIFESP] |
dc.subject.por.fl_str_mv |
Costs and cost analysis Varicose ulcer Wound healing Effectiveness Úlcera varicosa Efetividade Cicatrização Custos e análise de custo |
topic |
Costs and cost analysis Varicose ulcer Wound healing Effectiveness Úlcera varicosa Efetividade Cicatrização Custos e análise de custo |
description |
Introduction: Venous ulcers (VUs) require long-term treatments, representing a serious problem for health systems. Cost-effectiveness analyzes can be time-consuming and costly. However, the creation of a tool can provide useful preliminary results to managers and health professionals. Objective: To develop a tool for cost-effectiveness analysis in the treatment of venous ulcers. Methods: Spreadsheets were constructed in Excel® for the collection and comparison of matched-paired data of patients from two different treatment groups. Formulas were inserted to calculate the mean total cost and effectiveness of treatment for each group, as well as the incremental cost-effectiveness ratio (ICER) between two groups. Published data from a study comparing the cost-effectiveness of compression treatments using elastic bandage (Tr1) and Unna’s boot (Tr2) were used to demonstrate the applicability of the tool. The usability of the tool was tested with nurses specialized in the area, using a questionnaire. Results: The created tool enables the analysis of cost-effectiveness between two groups of patients with VUs who received different treatments, using retrospective and prospective data. In the demonstration of its applicability, the tool showed that Tr1 had a lower cost and lower effectiveness compared with Tr2 after 13weeks of treatment. The ICER was R$5,543.20 per additional reduction in Tr1. The tool was considered useful for decision making by all nurse who participated in the usability test. Conclusion: A tool was developed for cost-effectiveness analysis in the treatment of venous ulcers. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-06-22 2019-06-19T14:57:33Z 2019-06-19T14:57:33Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=5052728 http://repositorio.unifesp.br/handle/11600/50181 |
url |
https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=5052728 http://repositorio.unifesp.br/handle/11600/50181 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
81 f. application/pdf |
dc.coverage.none.fl_str_mv |
São Paulo |
dc.publisher.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) |
publisher.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
biblioteca.csp@unifesp.br |
_version_ |
1814268381023436800 |