Cost‐effectiveness of groin hernia repair from a randomized clinical trial comparing commercial versus low‐cost mesh in a low‐income country.
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:
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