Cost‐effectiveness of groin hernia repair from a randomized clinical trial comparing commercial versus low‐cost mesh in a low‐income country. BJS 2017; 104: 695-703.
Published: 16th February 2017
Authors: J. Löfgren, A. Matovu, A. Wladis, C. Ibingira, P. Nordin, E. Galiwango et al.
Over 200 million people worldwide live with groin hernia and 20 million are operated on each year. In resource‐scarce settings, the superior surgical technique using a synthetic mesh is not affordable. A low‐cost alternative is needed. The objective of this study was to calculate and compare costs and cost‐effectiveness of inguinal hernia mesh repair using a low‐cost
This is a cost‐effectiveness analysis of a double‐blinded
The cost difference resulting from the choice of mesh was $124·7 (€118·1). In the low‐cost mesh group, the cost per
Repair using both meshes was highly cost‐effective in the study setting. A potential cost reduction of over $120 (nearly €120) per operation with use of the low‐cost mesh is important if the mesh technique is to be made available to the many millions of patients in countries with limited resources. Trial registration number:
You may also be interested in
Authors: T. W. Pike, F. Mushtaq, R. P. Mann, P. Chambers, G. Hall, J. E. Tomlinson et al.
Notes: Science behind list structure
Authors: R. Schneider, A. Machens, C. Sekulla, K. Lorenz, F. Weber, H. Dralle et al.
Notes: Smaller tools needed
Survival following liver transplantation for liver‐only colorectal metastases compared with hepatocellular carcinoma.
Authors: S. Dueland, A. Foss, J. M. Solheim, M. Hagness, P.‐D. Line
Notes: Valid treatment option for colorectal liver metastases
Discrete‐choice experiment to analyse preferences for centralizing specialist cancer surgery services.
Authors: L. Vallejo‐Torres, M. Melnychuk, C. Vindrola‐Padros, M. Aitchison, C. S. Clarke, N. J. Fulop et al.
Notes: Most favour it
Multicentre study evaluating the surgical learning curve for posterior retroperitoneoscopic adrenalectomy.
Authors: O. M. Vrielink, A. F. Engelsman, P. H. J. Hemmer, J. de Vries, W. M. C. M. Vorselaars, M. R. Vriens et al.
Notes: Large annual case‐load required
Authors: G. M. Cooney, A. Kiernan, D. C. Winter, C. K. Simms
Notes: Advice for wound repair
Authors: A. ten Hove, V. E. de Meijer, J. B. F. Hulscher, R. H. J. de Kleine
Notes: Choledochal cysts should be resected
Authors: S. J. Chapman, A. Pericleous, C. Downey, D. G. Jayne
Notes: No easy answers.
Authors: R. D. Dias, M. C. Ngo‐Howard, M. T. Boskovski, M. A. Zenati, S. J. Yule
Notes: Complex field
Authors: A. Cook, T. Osler, L. Glance, F. Lecky, O. Bouamra, J. Weddle et al.
Notes: TMPM appears better
Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy for pseudomyxoma peritonei of appendicular and extra‐appendicular origin.
Authors: J.‐B. Delhorme, F. Severac, G. Averous, O. Glehen, G. Passot, N. Bakrin et al.
Notes: Survival similar