دورية أكاديمية
Cost-effectiveness of implant-supported dental prosthesis compared to conventional dental prosthesis
| العنوان: | Cost-effectiveness of implant-supported dental prosthesis compared to conventional dental prosthesis |
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| المؤلفون: | Livia Fernandes Probst, Tazio Vanni, Denise de Fátima Barros Cavalcante, Erica Tatiane da Silva, Yuri Wanderley Cavalcanti, Luis Augusto Passeri, Antonio Carlos Pereira |
| المصدر: | Revista de Saúde Pública, Vol 53 |
| بيانات النشر: | Universidade de São Paulo. |
| المجموعة: | LCC:Public aspects of medicine |
| مصطلحات موضوعية: | Arcada Edêntula, reabilitação, Prótese Dentária, economia, Avaliação de Custo-Efetividade, Sistema Único de Saúde, Public aspects of medicine, RA1-1270 |
| الوصف: | ABSTRACT OBJECTIVE To conduct a cost-effectiveness analysis of alternatives for rehabilitation treatment of mandibular edentulism in the context of the Brazilian Unified Health System (implant-supported total dental prosthesis versus conventional total dental prosthesis). METHODS A Markov model was developed to capture long-term clinical and economic outcomes. The model’s population was comprised of a hypothetical cohort of 1,000,000 patients, aged 55 years, with total mandibular edentulism and without medical contraindications for performing surgical procedures. The adopted analysis perspective was that of the Brazilian Unified Health System. Based on the proposed model, we calculated cost – in BRL, and effectiveness – measured by quality-adjusted prosthesis year (QAPY). The time horizon of the analysis was 20 years. RESULTS Considering a 5% discount in costs and effects, the incremental cost-effectiveness ratio of implant-supported total dental prostheses compared to conventional total dental prosthesis (BRL 464.22/QAPY) was lower than the willingness to pay threshold adopted in the model (BRL 3,050.00/QAPY). CONCLUSIONS The results of this economic analysis showed that the rehabilitation of mandibular edentulous patients by implant-supported total prosthesis is very cost-effective when compared to conventional complete prosthesis, considering the cost-effectiveness limits employed. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English Spanish; Castilian Portuguese |
| تدمد: | 1518-8787 |
| Relation: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102019000100257&lng=en&tlng=en; https://doaj.org/toc/1518-8787 |
| DOI: | 10.11606/s1518-8787.2019053001066 |
| URL الوصول: | https://doaj.org/article/061f221b46b24746888055d6bf76674e |
| رقم الأكسشن: | edsdoj.061f221b46b24746888055d6bf76674e |
| قاعدة البيانات: | Directory of Open Access Journals |
| تدمد: | 15188787 |
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| DOI: | 10.11606/s1518-8787.2019053001066 |