Aidelsburger, Pamela; Hessel, Franz; Wasem, Jürgen:
Cost-effectiveness of quantitative ultrasound as a technique for screening of osteoporotic fracture risk : report on a health technology assessment conducted in 2001
In: GMS German Medical Science : an Interdisciplinary Journal, Band 2 (2004), Artikel Doc03
2004Artikel/Aufsatz in ZeitschriftOA Platin
WirtschaftswissenschaftenMedizinFakultät für Wirtschaftswissenschaften » Fachgebiet Betriebswirtschaftslehre » Medizinmanagement
Damit verbunden: 1 Publikation(en)
Titel in Englisch:
Cost-effectiveness of quantitative ultrasound as a technique for screening of osteoporotic fracture risk : report on a health technology assessment conducted in 2001
Titel in Deutsch (übersetzt):
Kosten-Effektivität der quantitativen Ultraschalluntersuchung im Rahmen der Osteoporoseversorgung (Früherkennung des Frakturrisikos) : Bericht über einen 2001 durchgeführten ökonomischen HTA
Autor*in:
Aidelsburger, Pamela;Hessel, FranzUDE
GND
173277802
LSF ID
5226
Sonstiges
der Hochschule zugeordnete*r Autor*in
;
Wasem, JürgenUDE
GND
110790677
LSF ID
5214
ORCID
0000-0001-9653-168XORCID iD
Sonstiges
der Hochschule zugeordnete*r Autor*in
Erscheinungsjahr:
2004
Open Access?:
OA Platin
Sprache des Textes:
Englisch

Abstract in Englisch:

Aim: On behalf of the German Agency for Health Technology Assessment (DAHTA@DIMDI) a rapid economic HTA was conducted. Aim of the HTA was to evaluate the cost-effectiveness of quantitative ultrasound (QUS) for screening of osteoporotic fracture risk. Study population was formed by postmenopausal women. QUS was compared to the dual X-ray absorptiometry (DXA) as the most frequently used method of measurement. Methods: According to the recommendations for rapid economic HTA a comprehensive literature search was conducted. Data of identified and relevant publications have been extracted in form of a qualitative and quantitative information synthesis. The authors calculated incremental cost-effectiveness ratios for different screening procedures: (1) one-step proceeding comparing QUS with DXA, (2) two-step proceeding starting with QUS followed by DXA in pathologic cases. Results: An additional case diagnosed by DXA in a one-step proceeding rises additional costs of about 1,000 EURO. A two-step proceeding with QUS is cost-effective as long as the costs of one QUS examination are lower than 31%-51% of the costs of one DXA examination. Discussion: All considered studies showed methodological limitations. None of them included long term effects like avoided bone fractures. Considering long-term effects probably would change the results. Due to the weakness of data no concluding judgement about the cost-effectiveness of QUS can be given.