Modelling the cost-utility of bio-electric stimulation therapy compared to standard care in the treatment of elderly patients with chronic non-healing wounds in the UK

Current Medical Research and Opinion

Volumn 23, Issue 4, 2007, Pages 871-883

  Clegg, John P ^a   Guest, Julian F ^a,b  

^a CATALYST Health Economics Consultants   (United Kingdom)

^b UNIVERSITY OF SURREY   (United Kingdom)

Author keywords

Bio electric stimulation therapy; Cost; Cost utility; Pressure ulcers; Venous leg ulcers; Wounds

Indexed keywords

ANTIBIOTIC AGENT; ANTIINFECTIVE AGENT; CLOBETASOL PROPIONATE; JELONET; METROTOP; NEFOPAM; PARACETAMOL; PETROLATUM; SULFADIAZINE SILVER; UNCLASSIFIED DRUG;

ARTICLE; CHRONIC DISEASE; CONTROLLED STUDY; COST EFFECTIVENESS ANALYSIS; COST UTILITY ANALYSIS; DECUBITUS; DRUG COST; ELDERLY CARE; ELECTROSTIMULATION THERAPY; HEALTH CARE COST; HEALTH CARE UTILIZATION; HUMAN; LEG ULCER; MATHEMATICAL MODEL; NATIONAL HEALTH SERVICE; PROBABILITY; QUALITY ADJUSTED LIFE YEAR; TREATMENT DURATION; UNITED KINGDOM; WOUND DRESSING; WOUND HEALING;

AGED; AGED, 80 AND OVER; CHRONIC DISEASE; COST-BENEFIT ANALYSIS; ELECTRIC STIMULATION THERAPY; FEMALE; FORECASTING; GREAT BRITAIN; HEALTH RESOURCES; HUMANS; MALE; MARKOV CHAINS; MODELS, ECONOMIC; SKIN ULCER; WOUNDS AND INJURIES;

EID: 34247333337     PISSN: 03007995     EISSN: None     Source Type: Journal    
DOI: 10.1185/030079906X167705     Document Type: Article

References (26)

1. Kanof NM. Gold leaf in the treatment of cutaneous ulcers. J Invest Dermatol 1964;43:441-2
2. Markov MS. Electrical current and electro-magnetic field effects on soft tissues: implications for wound healing. Wounds 1995;7:94-110
3. Kloth LC. Electrical stimulation for wound healing: a review of evidence from in vitro studies, animal experiments and clinical trials. Int J Lower Extrem Wounds 2005;4:23-44
4. Kloth LC. Physical modalities in wound management: UVC, therapeutic heating and electrical stimulation. Ostomy Wound Manage 1995;41:18-27
5. Kloth LC, McCulloch JM. Promotion of wound healing with electrical stimulation. Adv Wound Care 1996;9:42-5
6. Winter GD. Formation of the scab and the rate of epithelialisation of superficial wounds in the skin of the young domestic pig. Nature 1962;193:293-4
7. Hinman CD, Maibach H. Effect of air exposure and occlusion on experimental human skin wounds. Nature 1963;200:377-8
8. Cheng K, Tarjan P, Oliveira-Gandia M, et al. An occlusive dressing can sustain natural electrical potential of wounds. J Investigative Dermatol 1995;104:662-5
9. Jennings JA, Feldman DS, Andino RV. In vivo study of novel electrostimulation bandage. Presented at the 2nd World Union of Wound Healing Societies' Meeting; Paris, France; July 2004
10. Jennings JA, Feldman DS, Andino RV. Effects of an electrical stimulation bandage on wound healing. Presented at Wound Repair and Regeneration, 14th Annual Meeting; Atlanta, GA, US; May 2004
11. Biofisica LLC, Atlanta, GA, US. Data on file 2004
12. Hampton S. An introduction to various types of leg ulcers and their management. Br J Nurs 2006;21;15:S9-S13
13. Hampton S, King L. Healing an intractable wound using bio-electrical stimulation therapy. Br J Nurs 2005;14:S30-S32
14. Hampton S, Collins F. Treating a pressure ulcer with bio-electric stimulation therapy. Br J Nurs 2006;15:S14-S18
15. Cutting KF. Electric stimulation in the treatment of chronic wounds. Wounds UK 2006;2:3-11
16. British Standards Institute. Technical File for CE Mark 77677 awarded to Posifect September 2006, London, UK
17. Hammerschmidt T, Zeitler H-P, Gulich M, Leidl R. A comparison of different strategies to collect standard gamble utilities. Med Decis Mak 2004;24:493-503
18. Netten A, Curtis L. Unit costs of health and social care 2005. University of Kent, Canterbury: Personal Social Services Research Unit; 2005
19. Monthly index of medical specialities (MIMS). January/February 2006 ed. London: Haymarket Medical Ltd; 2006
20. British national formulary. Available on-line at http://www.bnf.org
21. Westons, 2006. Available on-line at http://www.westons.com
22. Royal College of Nursing (1998). The management of patients with venous leg ulcers. Recommendations for assessment, compression therapy, cleansing, debridement, dressing, contact sensitivity, training/education and quality assurance. Royal College of Nursing. Available on-line at http://www.rcn.org.uk
23. Bennett G, Dealey C, Posnett J. The cost of pressure ulcers in the UK. Age Ageing 2004;33:230-5
24. Callam MJ, Ruckley CV, Harper DR, et al. Chronic ulceration of the leg: extent of the problem and provision of care. Br Med J 1985;290:1855-6
25. Tennvall GR, Hjelmgren J. Annual costs of treatment for venous leg ulcers in Sweden and the United Kingdom. Wound Repair Regener 2005;13:13-8
26. Fernie GR, Dornan J. The problem of clinical trials with new systems for preventing or healing decubiti. In: Kenedi RM and Cowden JM, eds. Bedsore Biomechanics. London: The Macmillan Press, 1976. p. 315-320.