ABSTRACT

Introduction: In this era of cost-conscious health systems, it is of utmost importance to identify and establish the most cost-effective treatment option. However, in the case of peripheral entrapment mononeuropathies there is alack of data regarding economically effective treatment strategies. Therefore, the objective was to conduct an economic evaluation including both costs and benefits of various treatment strategies applied to peripheral entrapment mononeuropathies to estimate the relative cost-effective treatment regimens.

Areas covered: Over the 19 years, seven excellent-high quality economic evaluations of three types of peripheral entrapment mononeuropathies were identified in four countries. Our findings showed that surgery was the most cost-effective therapy followed by same cost efficacy of infiltrative therapy and conservative therapy for peripheral entrapment mononeuropathies. However, the fact that surgery was the most common comparator (n = 6) in our selected studies cannot be neglected.

Expert opinion: Due to huge methodological variability, the finding of surgery as the cost-effective treatment strategy remains tentative and the decision about the most suitable clinical and cost-effective therapy should be individualized from case to case. Moreover, the economic evaluation of all possible treatment strategies for peripheral entrapment mononeuropathies over alonger period of analysis is required in future studies.

摘要

简介：在这个注重成本的卫生系统时代，确定和建立最具成本效益的治疗方案至关重要。然而，在外周卡压单神经病的情况下，缺乏有关经济有效治疗策略的数据。因此，目标是进行经济评估，包括应用于外周卡压单神经病的各种治疗策略的成本和收益，以估计相对具有成本效益的治疗方案。

涵盖的领域： 19 年来，在四个国家确定了三种类型的外周诱捕单神经病的七项高质量的经济评估。我们的研究结果表明，手术是最具成本效益的治疗方法，其次是浸润性治疗和保守治疗外周卡压性单神经病的成本效益相同。然而，在我们选择的研究中，手术是最常见的比较对象（n = 6）这一事实不容忽视。

专家意见：由于方法学上的巨大差异，手术作为具有成本效益的治疗策略的发现仍然是试探性的，关于最合适的临床和成本效益疗法的决定应因人而异。此外，未来的研究需要在更长的分析期内对所有可能的外周卡压单神经病治疗策略进行经济评估。