Cost-Effectiveness of Surgical Techniques in Hallux Valgus

Andy Molloy; Gavin Heyes

doi:10.1016/j.fcl.2019.10.005

Cost-Effectiveness of Surgical Techniques in Hallux Valgus

Foot Ankle Clin. 2020 Mar;25(1):19-29. doi: 10.1016/j.fcl.2019.10.005. Epub 2019 Nov 28.

Authors

Andy Molloy¹, Gavin Heyes²

Affiliations

¹ Trauma and Orthopaedics Department, Aintree University Hospital, Lower Lane, Liverpool L9 7AL, UK. Electronic address: andy.molloy@aintree.nhs.uk.
² Trauma and Orthopaedics Department, Aintree University Hospital, Lower Lane, Liverpool L9 7AL, UK.

PMID: 31997744
DOI: 10.1016/j.fcl.2019.10.005

Abstract

Health care costs are increasing. Funding is not increasing at a commensurate rate. Demonstrable cost-effectiveness is critical when selecting operation and implant type. Clinicians must justify their decision on surgery and implant type, providing patient-reported outcome measures (PROM). Providing such data on cost and PROM forms the basis of future cost-effectiveness analysis (CEA). Such analysis is complex. Future research should analyze cost variables individually. Day case surgery, multimodal analgesia, and simultaneous surgery for bilateral cases show promise in reducing cost. With evidence of increased recurrence, requirement for additional equipment and more expensive implants it is unlikely to demonstrate superior cost-effectiveness.

Keywords: Bunion; Cost-effectiveness; Hallux valgus surgery.

Publication types

Review

MeSH terms

Cost-Benefit Analysis
Hallux Valgus / economics
Hallux Valgus / surgery*
Humans
Minimally Invasive Surgical Procedures / economics
Minimally Invasive Surgical Procedures / methods
Osteotomy / economics*
Osteotomy / methods*
Treatment Outcome