Cost-effectiveness for the use of tissue adhesives or conventional suture in medical practice
Keywords:
Skin wounds, sutures, tissue adhesives, costsAbstract
Introduction: Yarn suture is the classic method for wound edge coping with a view to promoting tissue healing. Tissue adhesives are currently used as an alternative in the treatment of wounds.
Objectives: In order to evaluate the use of tissue adhesives or sutures in the surgical closure of wounds in medical practice.
Methods: a study with a cost-effectiveness decision analysis design was performed. Data were obtained from the literature, medical databases were reviewed in the period 2002-2012, 28 studies (11.4 %) were validated to estimate the probability of complications and success used.
Results: It was found that both alternatives offer a high probability of success (0.99) with its use for wound closure, the decision equally suggests the use of conventional sutures or tissue adhesives. Regarding the medical field, pediatrics turned out to be the choice for the use of conventional sutures being more useful its use in other areas. The use of tissue adhesives showed to be better when used in adults and specifically in surgery of the thorax and abdomen. The cost-effectiveness ratio for the use of adhesives and sutures was $7.78 and $17.65, respectively, for a wound closure effectiveness of 99% in both alternatives.
Conclusions: It is concluded that tissue adhesives represent a feasible option in terms of effectiveness, being a less costly alternative to conventional suture treatment.
Downloads
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Aquellos autores/as que tengan publicaciones con esta revista, aceptan los términos siguientes:
- Los autores/as conservarán sus derechos de autor y garantizarán a la revista el derecho de primera publicación de su obra, el cuál estará simultáneamente sujeto a la Licencia de reconocimiento de Creative Commons que permite a terceros compartir la obra siempre que se indique su autor y su primera publicación esta revista.
- Los autores/as podrán adoptar otros acuerdos de licencia no exclusiva de distribución de la versión de la obra publicada (p. ej.: depositarla en un archivo telemático institucional o publicarla en un volumen monográfico) siempre que se indique la publicación inicial en esta revista.
- Se permite y recomienda a los autores/as difundir su obra a través de Internet (p. ej.: en archivos telemáticos institucionales o en su página web) antes y durante el proceso de envío, lo cual puede producir intercambios interesantes y aumentar las citas de la obra publicada. (Véase El efecto del acceso abierto).
