BOFAS Abstracts Archive

You can search for abstracts by using the search bar below.
Alternatively you can browse through podium and poster presentations by selecting the year and / or type below. You can further refine your search using tags or use the search bar.

Search

RSS Abstracts 476 Expand/Collapse
- RSS 2013 64 Expand/Collapse
  - RSS Poster 24 Expand/Collapse
  - RSS Podium 40 Expand/Collapse
- RSS 2014 36 Expand/Collapse
  - RSS Podium 36 Expand/Collapse
- RSS 2015 49 Expand/Collapse
  - RSS Poster 20 Expand/Collapse
  - RSS Podium 29 Expand/Collapse
- RSS 2016 45 Expand/Collapse
  - RSS Poster 18 Expand/Collapse
  - RSS Podium 27 Expand/Collapse
- RSS 2017 40 Expand/Collapse
  - RSS Poster 15 Expand/Collapse
  - RSS Podium 25 Expand/Collapse
- RSS 2018 47 Expand/Collapse
  - RSS Poster 22 Expand/Collapse
  - RSS Podium 25 Expand/Collapse
- RSS 2019 48 Expand/Collapse
  - RSS Poster 25 Expand/Collapse
  - RSS Podium 23 Expand/Collapse
- RSS 2021 15 Expand/Collapse
  - RSS Poster 10 Expand/Collapse
  - RSS Podium 6 Expand/Collapse
- RSS 2022 46 Expand/Collapse
  - RSS Poster 23 Expand/Collapse
  - RSS Podium 23 Expand/Collapse
- RSS 2023 46 Expand/Collapse
  - RSS Poster 23 Expand/Collapse
  - RSS Podium 23 Expand/Collapse
- RSS 2024 40 Expand/Collapse
  - RSS Poster 18 Expand/Collapse
  - RSS Podium 22 Expand/Collapse

Categories: Abstracts, 2013, Poster

The interim results on estimation of a forefoot surgery quality-adjusted life years (QALY)?

R. Ahluwalia, N. Blucher, H. Kielghty, P. Weller, S. Platt, M. Hennessy

¹Wirral University Hospitals NHS Trust, Wirral, United Kingdom

²Wirral University Hospitals NHS Trust, Foot and Ankle, Wirral, United Kingdom

³Wirral University Hospitals NHS Trust, Coding, Wirral, United Kingdom

⁴City University, London, United Kingdom

Introduction: Planned reduction in expenditure can be expected to result in rationing of NHS services. A method of assessing the financial benefit of a treatment is to estimate the quality-adjusted life years (QALY’s). The aim of this study was to perform a cost-utility analysis of forefoot surgery.

Methods: During a period between October 2011 and March 2012 all forefoot procedures were prospectively followed with the MOXFQ up to 1- year. We followed the health economic analysis as identified by Jenkins et al 2013. Health states derived from the MOXFQ were converted to a single summary index on a scale of -1 to 1, where 1 represents perfect health, and 0 represents no change. Using life expectancy tables we calculated the time spent in that state (in years) to derive the QALY’s gained or lost. Surgical costs were identified as per the HRG code to calculate the cost per QALY. Statistical analysis was undertaken to test the normality of data and 95% confidence intervals.

Results: 36 patients, with an average-age of 63.4yrs underwent forefoot surgery between Oct 2012- March 2012. All patients had hallux valgus correction with correction of lesser toe deformities and completed pre-operative MOXFQ and post-operative 1 year MOXFQ. We found a 33.4% (29.4-36.7%) positive improvement in MOXFQ at 1- year and identified the mean QALY gained is 4.9, as the average age at death on the Wirral 78.2 meaning any foot health improvement could potentially last 14.8 yrs. Our coding department identified the mean cost of surgery, was £3082.42 in this group and the mean lifetime cost-per-QALY is £733.90 if patient health remained static.

Conclusion: Forefoot surgery appears a cost-effective and compares favourably with both THR and TKR. We advocate further study into the QALY value for specific forefoot procedures and variance due to yearly change in NHS-payment structures.

Print

Tags: Outcome Measures

Click thumbnail below to view poster / thumbnail:

Archive of Abstracts