Openly accessible

Economic evaluations considering costs and outcomes of diabetic foot ulcer infections: A systematic review

Woods, TJ, Tesfay, F, Speck, P and Kaambwa, B 2020, Economic evaluations considering costs and outcomes of diabetic foot ulcer infections: A systematic review, PLoS ONE, vol. 15, no. 4, pp. 1-16, doi: 10.1371/journal.pone.0232395.

Attached Files
Name Description MIMEType Size Downloads
tesfay-economicevaluations-2020.pdf Accepted version application/pdf 808.36KB 22

Title Economic evaluations considering costs and outcomes of diabetic foot ulcer infections: A systematic review
Author(s) Woods, TJ
Tesfay, FORCID iD for Tesfay, F orcid.org/0000-0003-0399-1711
Speck, P
Kaambwa, B
Journal name PLoS ONE
Volume number 15
Issue number 4
Start page 1
End page 16
Total pages 16
Publisher PLOS
Place of publication San Francisco, CA
Publication date 2020-04-30
ISSN 1932-6203
Keyword(s) Health economics
Diabetes mellitus
Ulcers
Opportunistic infections
Markov models
Database searching
Soft tissue infections
Surgical amputation
Science & Technology
Multidisciplinary Sciences
Science & Technology - Other Topics
MANAGEMENT
PREVENTION
GUIDELINES
DECISION
BURDEN
IMPACT
MODEL
AMPUTATIONS
ERTAPENEM
THERAPY
Summary Background: Diabetic foot ulcer (DFU) is a severe complication of diabetes and particularly susceptible to infection. DFU infection intervention efficacy is declining due to antimicrobial resistance and a systematic review of economic evaluations considering their economic feasibility is timely and required. Aim: To obtain and critically appraise all available full economic evaluations jointly considering costs and outcomes of infected DFUs. Methods: A literature search was conducted across MedLine, CINAHL, Scopus and Cochrane Database seeking evaluations published from inception to 2019 using specific key concepts. Eligibility criteria were defined to guide study selection. Articles were identified by screening of titles and abstracts, followed by a full-text review before inclusion. We identified 352 papers that report economic analysis of the costs and outcomes of interventions aimed at diabetic foot ulcer infections. Key characteristics of eligible economic evaluations were extracted, and their quality assessed against the Consolidated Health Economic Evaluation Reporting Standards (CHEERS) checklist. Results: 542 records were screened and 39 full-texts assessed for eligibility. A total of 19 papers were included in the final analysis. All studies except one identified cost-saving or cost-effective interventions. The evaluations included in the final analysis were so heterogeneous that comparison of them was not possible. All studies were of “excellent”, “very good” or “good” quality when assessed against the CHEERS checklist. Conclusions: Consistent identification of cost-effective and cost-saving interventions may help to reduce the DFU healthcare burden. Future research should involve clinical implementation of interventions with parallel economic evaluation rather than model-based evaluations.
Language eng
DOI 10.1371/journal.pone.0232395
Indigenous content off
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2020, Woods et al.
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30136583

Connect to link resolver
 
Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved.

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.

Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 2 times in TR Web of Science
Scopus Citation Count Cited 1 times in Scopus
Google Scholar Search Google Scholar
Access Statistics: 23 Abstract Views, 22 File Downloads  -  Detailed Statistics
Created: Sat, 09 May 2020, 10:36:06 EST

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.