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The Incremental Cost Effectiveness of Withdrawing Pulmonary Artery Catheters from Routine Use in Critical Care


Author Info

  • Katherine Stevens

    (School of Health and Related Research (ScHARR), Health Economics and Decision Science, University of Sheffield, Sheffield, England)

  • Christopher McCabe

    (School of Health and Related Research (ScHARR), Health Economics and Decision Science, University of Sheffield, Sheffield, England)

  • Carys Jones

    (Intensive Care National Audit & Research Centre (ICNARC), London, England)

  • Joanne Ashcroft

    (Intensive Care National Audit & Research Centre (ICNARC), London, England)

  • Sheila Harvey

    (Intensive Care National Audit & Research Centre (ICNARC), London, England)

  • Kathy Rowan

    (Intensive Care National Audit & Research Centre (ICNARC), London, England)


Objective: The objective of this study was to conduct an economic evaluation to identify any differences in the expected costs and outcomes between patients treated with pulmonary artery catheters (PACs) and those without, in order to better inform healthcare decision makers. Method: The evaluation was carried out alongside a clinical trial investigating the use of PACs in intensive care units (ICUs) in the UK. It was conducted from the perspective of the UK NHS, in which PACs are an established intervention. Treating patients without using a PAC was characterised as the new intervention. The primary outcome measure was QALYs. The secondary outcome measure was hospital mortality. NHS costs per patient were calculated for the financial year 2002/03. The bootstrap method was used to characterise the uncertainty of the results and to construct cost-effectiveness acceptability curves. Results: The cost per QALY and per life gained from the withdrawal of PACs were Lstg 2892 and Lstg 21_164, respectively. Conclusion: The results of this study indicate that withdrawal of PACs from routine clinical use in ICUs within the NHS would be considered cost effective in the current decision-making climate.

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Bibliographic Info

Article provided by Springer Healthcare | Adis in its journal Applied Health Economics and Health Policy.

Volume (Year): 4 (2005)
Issue (Month): 4 ()
Pages: 257-264

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Handle: RePEc:wkh:aheahp:v:4:y:2005:i:4:p:257-264

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Related research

Keywords: Cost-effectiveness; Intensive-care-units; Lung-disorders; Pulmonary-surgery; Quality-adjusted-life-years;

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