286 Comparative Cost Effective Analysis for the Use of Allograft in Second Degree Burns

Abstract

The use of allograft is the burn wound has been clinically shown to decrease days to epithelialization, mitigate pain associated with wound management and limit burn wound infection. While there is no general consensus for the management of a second degree burn, most surgeons will manage either with topical antibiotic creams, topical silver or allograft placement. The purpose of this paper is to complete a cost-effective analysis for the use of allograft in second degree burns as a means of justifying the increased cost. We completed a comparative cost effective analysis for the use of allograft in second degree burns. The model compares this technology to topical antibiotic therapy and topical silver dressings. The model was “rolled-back” in order to obtain quality adjusted life years. Incremental cost-effectiveness ratios were used to summarize the cost effectiveness of this intervention. While the use of allograft in second degree buns comes with a greater cost than other modalities, it is associated with an improvement in quality adjusted life years. This increased cost is justified by an acceptable willingness to pay threshold. Allograft in the use of second degree burns is a clinically effective means to treat a second degree burn. This technology comes with an improvement in QALYs and the cost is justified by a comparative cost effectiveness and an acceptable societal willingness to pay threshold. Applicability of Research to Practice: This is applicable to everyday use.