NDLI: Évaluation médico-économique des traitements urologiques chez les patients blessés médullaires : revue de la littérature.

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Évaluation médico-économique des traitements urologiques chez les patients blessés médullaires : revue de la littérature.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Guillot-Tantay, C. Chartier-Kastler, E. Manach, Q. Perrouin-Verbe, M-A Denys, P. Phé, V.
Description	Author Affiliation: Guillot-Tantay C ( Service d'urologie et de transplantation rénale, hôpital universitaire la Pitié-Salpêtrière, faculté de médecine Pierre-et-Marie-Curie, université Paris 6, Assistance publique-Hôpitaux de Paris, 75013 Paris, France. Electronic address: c.guillot.tantay@gmail.com.); Chartier-Kastler E ( Service d'urologie et de transplantation rénale, hôpital universitaire la Pitié-Salpêtrière, faculté de médecine Pierre-et-Marie-Curie, université Paris 6, Assistance publique-Hôpitaux de Paris, 75013 Paris, France.); Manach Q ( Service d'urologie et de transplantation rénale, hôpital universitaire la Pitié-Salpêtrière, faculté de médecine Pierre-et-Marie-Curie, université Paris 6, Assistance publique-Hôpitaux de Paris, 75013 Paris, France.); Perrouin-Verbe MA ( Service d'urologie et de transplantation rénale, hôpital universitaire la Pitié-Salpêtrière, faculté de médecine Pierre-et-Marie-Curie, université Paris 6, Assistance publique-Hôpitaux de Paris, 75013 Paris, France.); Denys P ( Service de médecine physique et réadaptation, hôpital Raymond-Poincaré, Assistance publique-Hôpitaux de Paris, 92380 Garches, France.); Phé V ( Service d'urologie et de transplantation rénale, hôpital universitaire la Pitié-Salpêtrière, faculté de médecine Pierre-et-Marie-Curie, université Paris 6, Assistance publique-Hôpitaux de Paris, 75013 Paris, France.)
Abstract	INTRODUCTION: To provide an overview of the urological management of spinal cord injured patients based on an economic analysis. MATERIALS AND METHODS: A literature search from January 1994 to December 2014 was performed using Medline and Embase database using the following keywords: cost-effectiveness; cost-benefit; cost-utility; spinal cord injury; neurogenic bladder; intermittent catheterization; antimuscarinics; botulinum toxin; sacral neuromodulation; tibial nerve; Brindley; sphincterotomy. The tool used for comparison was the QALY ('quality adjusted life years'); an indicator between 0 and 1 allowing the comparison between two medical treatments using cost per QALY. RESULTS: Solifenacin (5 to 10mg) is the most cost-effective treatment with an incremental cost-effectiveness ratio (ICER) of 19,893 /QALY compared to trospium 40mg, of 16,657 /QALY compared to trospium 60mg, of 12,309 £/QALY compared to oxybutinin. Botulinum toxin A is also cost-effective with an ICER of 24,720 \$/QALY compared to best supportive cares for anticholinergic-refractory neurogenic detrusor overactivity. CONCLUSION: Solifenacin and botulinum toxin A appears to be the most cost-effective treatments for spinal injured urological cares. There is a pressing need to both increase and improve data collection and research on spinal cord injury.
File Format	HTM / HTML
ISSN	11667087
Issue Number	1
Journal	Progr`es en Urologie
Volume Number	27
Language	French
Publisher	Elsevier
Publisher Date	2017-01-01
Publisher Place	France
Access Restriction	Subscribed
Subject Keyword	Discipline Urology
Alternative Title	Medico-economic evaluation of urological cares of spinal cord injured patients: A review
Content Type	Text
Resource Type	Article
Subject	Urology

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