Please use this identifier to cite or link to this item:
http://bura.brunel.ac.uk/handle/2438/10165
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DC Field | Value | Language |
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dc.contributor.author | Borghi, J | - |
dc.contributor.author | Fox-Rushby, J | - |
dc.contributor.author | Bergel, E | - |
dc.contributor.author | Abalos, E | - |
dc.contributor.author | Hutton, G | - |
dc.contributor.author | Carroli, G | - |
dc.date.accessioned | 2015-02-09T16:44:09Z | - |
dc.date.available | 2002-02 | - |
dc.date.available | 2015-02-09T16:44:09Z | - |
dc.date.issued | 2002 | - |
dc.identifier.citation | American Journal of Obstetrics and Gynecology, 186 (2): 221 - 228, (2002) | en_US |
dc.identifier.issn | 0002-9378 | - |
dc.identifier.uri | http://www.sciencedirect.com/science/article/pii/S0002937802981640 | - |
dc.identifier.uri | http://bura.brunel.ac.uk/handle/2438/10165 | - |
dc.description.abstract | This article provides the estimates of the cost implications of switching from routine to restrictive episiotomy in 2 provinces in Argentina (Santa Fe and Salta) from the viewpoint of the health provider.A decision-tree model was constructed that used the probabilities and patient outcomes (the results of a trial in Argentina), resource use, cost, and local epidemiologic data from interviews with obstetricians in the selected provinces and from literature reviews. Probabilistic sensitivity analysis was conducted, which provided 90% confidence ranges for the cost data.For each low-risk vaginal delivery, there is a potential reduction in provider cost of $20.21 (range, $19.36-$21.09) with a restrictive policy of episiotomy in Santa Fe province and a reduction of $11.63 (range, $10.89-$12.42) in Salta province.The more effective policy of restrictive episiotomy is also less costly than that of routine episiotomy. The results are robust and consistent in both provinces. Further research is required to confirm the appropriate indications for episiotomy and the impact on outcomes of variations in episiotomy cost rates. | en_US |
dc.format.extent | 221 - 228 | - |
dc.format.extent | 221 - 228 | - |
dc.language | Eng | - |
dc.language.iso | en | en_US |
dc.publisher | Elsevier | en_US |
dc.subject | Cost | en_US |
dc.subject | Effectiveness | en_US |
dc.subject | Episiotomy | en_US |
dc.subject | Argentina | en_US |
dc.subject | Decision tree | en_US |
dc.title | The cost-effectiveness of routine versus restrictive episiotomy in Argentina | en_US |
dc.type | Article | en_US |
dc.identifier.doi | http://dx.doi.org/10.1067/mob.2002.119632 | - |
dc.relation.isPartOf | American Journal of Obstetrics and Gynecology | - |
dc.relation.isPartOf | American Journal of Obstetrics and Gynecology | - |
pubs.issue | 2 | - |
pubs.issue | 2 | - |
pubs.volume | 186 | - |
pubs.volume | 186 | - |
pubs.organisational-data | /Brunel | - |
pubs.organisational-data | /Brunel/Brunel Staff by College/Department/Division | - |
pubs.organisational-data | /Brunel/Brunel Staff by College/Department/Division/College of Health and Life Sciences | - |
pubs.organisational-data | /Brunel/Brunel Staff by College/Department/Division/College of Health and Life Sciences/Dept of Life Sciences | - |
pubs.organisational-data | /Brunel/Brunel Staff by College/Department/Division/College of Health and Life Sciences/Dept of Life Sciences/Biological Sciences | - |
pubs.organisational-data | /Brunel/Brunel Staff by Institute/Theme | - |
pubs.organisational-data | /Brunel/Brunel Staff by Institute/Theme/Institute of Environmental, Health and Societies | - |
pubs.organisational-data | /Brunel/Brunel Staff by Institute/Theme/Institute of Environmental, Health and Societies/Health Economics | - |
pubs.organisational-data | /Brunel/Specialist Centres | - |
pubs.organisational-data | /Brunel/Specialist Centres/HERG | - |
Appears in Collections: | Health Economics Research Group (HERG) |
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Fulltext.pdf | 111.22 kB | Adobe PDF | View/Open |
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