hta_ knee intro.qxp - Ministero della Salute

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12 Among the 147 sampled centres, the majority were local hospitals. The percentage of private accredited providers was 31.29%, 3.40% were Clinical Research Centres (IRCCS) and 65.31% were Public Hospital Services (Figure 5.1). In the 721 centres of the INHS, the number of procedures performed for “primary total <strong>knee</strong> replacement” during 2006 was 49.484 and 2.745 for “revision <strong>knee</strong> replacement”. In the 147 centres sampled the number of procedures performed during 2006 for primary and revision surgery were 12.293 and 699 respectively. Table 5.1: Regional distribution of the random sample. Region Total centres Sampled centres Piemonte 44 9 Valle d'Aosta 1 1 Lombardia 113 19 P.A. Bolzano 9 4 P.A. Trento 6 1 Veneto 36 8 Friuli Venezia Giulia 17 4 Liguria 15 4 Emilia Romagna 50 10 Toscana 44 9 Umbria 14 4 Marche 17 5 Lazio 90 13 Abruzzo 25 6 Molise 6 3 Campania 65 11 Puglia 39 8 Basilicata 6 3 Calabria 22 6 Sicilia 80 14 Sardegna 22 5 Total 721 47 Source: analysis by Agenas on returned questionnaires
Figure 5.1: Type of centres in the random sample (total = 147 centres). Source: analysis by Agenas on returned questionnaires 5.2.2 Description of responding centres A total of 66 questionnaires were returned (see Appendix 4). The number of responding centres on the total number of centres sampled within the Italian regions is in Table 5.2. The national percentage of responding centres was 44.9%. In only one region all the selected centres responded. The majority of responding centres were located in northern Italy (53%), 20% were located in central Italy while 27% were located in southern of Italy and the Islands. More than 80% of responders were public, 13.3% were private accredited providers (31.3% of the whole sample) (Table 5.2 and Figure 5.2). Three regions did not return questionnaires and no information was collected regarding type of prostheses used, prices and volume of activity. 13
Page 1 and 2: HTA REPORT Prostheses for primary t
Page 3 and 4: Contributions Authors Marina Cerbo,
Page 5 and 6: HTA REPORT Prostheses for primary t
Page 7 and 8: 10. Recommendations . . . . . . . .
Page 9: Prefazione Quest’anno l’Agenas
Page 12 and 13: XII Results Literature in this fiel
Page 14 and 15: XIV Obiettivi del report L’interv
Page 16 and 17: XVI formati e delle variabili racco
Page 18 and 19: 2 The procedures were identified ac
Page 21 and 22: 2. Technology, procedure and altern
Page 23: 3. The marketing status of knee pro
Page 27: 5. Context-specific analysis Contex
Page 31 and 32: Figure 5.2: Percentage of respondin
Page 33 and 34: Table 5.3: Volume of purchased pros
Page 35 and 36: 5.2.5 Analysis on purchasing price
Page 37: Table 5.6: Distribution of mean wei
Page 40 and 41: 24 6.1.3 Evidence synthesis After t
Page 42 and 43: 26 Survival rate as “revision for
Page 44: 28 Table 6.1: Evidence table for si
Page 49 and 50: 7. Assessing the evidence from arth
Page 51 and 52: Only four reports out of the 9 repo
Page 53 and 54: Table 7.3: Variables used in each r
Page 55 and 56: Table 7.4: Replies from the key-per
Page 57 and 58: Table 7.6: Data from the Australian
Page 59 and 60: Table 7.8: Data from Registro dell
Page 61 and 62: Table 7.11: Data from the Australia
Page 63 and 64: Table 7.15: Data from Registro dell
Page 65: Table 7.18: Revision rates of uncem
Page 68 and 69: 52 We calculated ICERs only for cla
Page 70 and 71: 54 Figure 8.1 shows prostheses ICER
Page 72 and 73: 56 Table 8.3: ICER (AOAJRR data) fo
Page 74 and 75: 58 8.4 Conclusions Regardless of wh
Page 76 and 77: 60 The gross heterogeneity of repor
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10. Recommendations We recommend th
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12. Competing interests declaration
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70 22. http://www.agenas.it/monitor
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72 • a tibial component: a metall
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74 Retention or sacrifice of the po
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76 Figure A1.2: Examples of femoral
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78 Suggested readings Bronzino JD.
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Appendix 2 Survey of Medical device
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Appendix 3 Sampling methodology The
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Table A2.2: Sample and total centre
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92 Veneto: 050017 Ospedale Sacro Cu
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94 Basilicata: 170011 Presidio Ospe
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Appendix 6 Search strategy The sear
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#50. (hls AND noetos) AND tornier A
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#108. (prime) AND (exatech) AND pri
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#166. (vanguard AND ps) AND ('biome
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Select 6 document(s) Search ("1998-
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Search ("1998-01-01"[Publication Da
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Appendix 7 Data extraction form for
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Common characteristics: Manufacture
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Conclusions: Assessment of generali
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Appendix 8 Data extraction form for
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Appendix 9 Quality assessment tool
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Appendix 10 List of excluded studie
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Studies excluded for short follow-u
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Robinson RP. Five-year follow-up of
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Regnér L, Carlsson L, Kärrholm J,
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Appendix 11 List of included studie
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Acronyms and abbreviations Agenas A
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