To freeze or not to freeze: a cost-effectiveness analysis of wart treatment.
Br J Dermatol
; 156(4): 687-92, 2007 Apr.
Article
em En
| MEDLINE
| ID: mdl-17326748
ABSTRACT
BACKGROUND:
Several general practitioner (GP)-prescribed and over-the-counter therapies for warts and verrucae are available. However, the cost-effectiveness of these treatments is unknown.OBJECTIVES:
To compare the cost-effectiveness of different treatments for cutaneous warts.METHODS:
We designed a decision-analytic Markov simulation model based on systematic review evidence to estimate the cost-effectiveness of various treatments. The outcome measures studied are percentage of patients cured, cost of treatment and incremental cost-effectiveness ratio for each treatment, compared with no treatment, after 18 weeks.RESULTS:
Duct tape was most cost-effective but published evidence of its effectiveness is sparse. Salicylic acid was the most cost-effective over-the-counter treatment commonly used. Cryotherapy administered by a GP was less cost-effective than GP-prescribed salicylic acid and less cost-effective than cryotherapy administered by a nurse.CONCLUSIONS:
Duct tape could be adopted as the primary treatment for cutaneous warts if its effectiveness is verified by further rigorous trials. Nurse-administered cryotherapy is likely to be more cost-effective than GP-administered cryotherapy.
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Temas:
ECOS
/
Aspectos_gerais
/
Financiamentos_gastos
Bases de dados:
MEDLINE
Assunto principal:
Verrugas
/
Crioterapia
/
Ácido Salicílico
/
Fármacos Dermatológicos
/
Anti-Infecciosos
Tipo de estudo:
Health_economic_evaluation
/
Prognostic_studies
/
Systematic_reviews
Limite:
Humans
Idioma:
En
Revista:
Br J Dermatol
Ano de publicação:
2007
Tipo de documento:
Article
País de afiliação:
Reino Unido