hta_ knee intro.qxp - Ministero della Salute
hta_ knee intro.qxp - Ministero della Salute
hta_ knee intro.qxp - Ministero della Salute
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Table 8.2: ICER (RIPO data) for single-radius class – Prosthesis base line: SCORPIO<br />
MODEL NAME<br />
(Manufacturer)<br />
PROFIX<br />
(Smith & Nephew)<br />
Source: Agenas elaboration<br />
MEAN<br />
WEIGHTED<br />
PRICE 2007<br />
REVISION<br />
RATE at 5<br />
years<br />
(%)<br />
8.3.2 Results using AOAJRR data<br />
IMPLANT<br />
SURVIVAL<br />
RATE at 5<br />
years<br />
(%)<br />
C E ICER<br />
€ 4.609,28 2,4 97,6 - € 2.100,55 0,7 - € 3.000,79<br />
SCORPIO (Stryker) € 2.508,73 1,7 98,3 Base line<br />
According to AOAJRR data, in the class of multiradius femoral design, the prosthesis with<br />
highest effectiveness is P.F.C. SIGMA. We defined this as our base line prosthesis. P.F.C. SIGMA is<br />
also the dominant prosthesis compared to LCS, GENESIS II OXINIUM and NEXGEN LPS-FLEX as<br />
shown by their negative ICERs. The other prosthesis types (AGC, BALANSYS, GENESIS II and NEX-<br />
GEN LPS) have a positive incremental cost as they are cheaper than base line (Table 8.3). The<br />
effectiveness differentials are all positive because by definition the baseline prosthesis is the most<br />
effective. Figure 8.2 shows graphically variations of costs and effects by model compared with the<br />
base line model. NEXGEN LPS has the highest cost-effectiveness as it has similar effectiveness (the<br />
difference against base line is 0,1%) but costs € 458,62 less than base line.<br />
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