Cost-effectiveness analysis of the analgesic therapy of postoperative pain

Authors

  • Silvia Regina Secoli University of São Paulo; School of Nursing
  • Kátia Grillo Padilha University of São Paulo; School of Nursing
  • Júlio Litvoc University of São Paulo; Medical School

DOI:

https://doi.org/10.1590/S0104-11692008000100007

Keywords:

health economics, health evaluation, postoperative pain, analgesics

Abstract

The study aimed to compare cost-effectiveness of analgesic schemes administered to 89 patients submitted to hemorrhoidectomy, on the 1st postoperative day. The descriptive and retrospective study was carried out in a General Hospital, Sao Paulo, Brazil. In order to carry out the cost-effectiveness analysis, the five most frequently used analgesic schemes were identified in practice. The main outcome was the absence of breakthrough pain episodes. While calculating the costs, analgesics and all devices related to the schemes were taken into consideration. Codeine 120mg+acetaminophen 2000mg was the most effective therapy with the lowest cost per patient with no breakthrough pain episodes ($65.23). Incremental analysis indicated that codeine 120mg+acetaminophen 2000mg+ketoprofen 200mg involved the additional cost of $238.31 in case an extra effectiveness benefit was needed. The analysis showed that the most suitable choice of analgesic therapy should consider the resources available at the institution along with economic and clinical aspects.

Downloads

Download data is not yet available.

Downloads

Published

2008-02-01

Issue

Vol. 16 No. 1 (2008)

Section

Original Articles

License

RLAE’s authorship concept is based on the substantial contribution by each of the individuals listed as authors, mainly in terms of conceiving and planning the research project, collecting or analyzing and interpreting data, writing and critical review. Indication of authors’ names under the article title is limited to six. If more, authors are listed on the online submission form under Acknowledgements. The possibility of including more than six authors will only be examined on multicenter studies, considering the explanations presented by the authors.
Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Cost-effectiveness analysis of the analgesic therapy of postoperative pain. (2008). Revista Latino-Americana De Enfermagem, 16(1), 42-46. https://doi.org/10.1590/S0104-11692008000100007