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A Cost-Utility Analysis of Preoperative Total Parenteral Nutrition

Published online by Cambridge University Press:  10 March 2009

Vivek Goel  and
Allan S. Detsky
Vivek Goel
Affiliation:
University of Toronto
Allan S. Detsky
Affiliation:
University of Toronto
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Extract

It has been suggested that preoperative total parentetal nutrition may be used to reduce the risk of nutrition-associated postoperative complications in high-risk patients. These patients can be identified based on their nutritional status. The efficiency of this intervention is assessed using the technique of cost-utility analysis. Data from multiple sources is integrated to perform the economic assessment.

The cost-utility ratios for treating several malnourished patients with localized upper gastrointestinal cancer are below $40,000. These cost-utility ratios compare favorably with published results of other programs. The ratios increase considerably if patients who are better nourished (at lower risk of postoperative complication) receive the intervention. The analysis is very sensitive to the efficacy of the intervention.

Type
General Essays
Information
International Journal of Technology Assessment in Health Care , Volume 5 , Issue 2 , April 1989 , pp. 183 - 194
Copyright
Copyright © Cambridge University Press 1989

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