Cost Effectiveness Of Contour Curved Cutter Stapler In Low Anterior Resection In Turkey

Abstract

Contour Curved Cutter Stapler is a multifire, single patient use device with a curved head that cuts and staples. The device is used for transection, resection, and/or creation of anastomoses. The instrument has application in multiple open or minimally invasive general (gastrointestinal and skeletal muscle), gynecologic, urologic and thoracic surgical procedures. The objective of this study is to assess the cost effectiveness of Contour in low anterior resection (LAR) in Turkey. A simple decision making model was used in assessing the cost effectiveness of Contour. Use of our Contour was compared with non-use. The ICER was calculated as additional cost per avoided complication. The analyses were made from the perspective of the Social Insurance Institution. Cost data regarding the type and frequency of resources used before, during and after LAR and in treatment of complications with and without Contour were obtained from expert views. Complications were listed as recurrence, colostomy, anastomose leakage and wound infection. Epidemiologic data and complication rates were obtained from literature and expert views. Total cost per patient of LAR with Contour stapler was found as 2,894 TRY. Total number of LAR patients for 2017 was estimated as 13,694. Of these patients 8,379 had complications if Contour is not used whereas 1,676 patients had complications when Contour is used. The total annual costs of operations including cost of complications were 54,569,305 TRY and 97,775,068 TRY for LAR with Contour and LAR without Contour respectively. With these results, LAR with Contour dominated LAR without Contour. These results showed that Contour is a cost-effective option LAR in Turkey