Can I read ACL reconstruction for all is not cost-effective after acute ACL rupture on EtoBox?

ACL reconstruction for all is not cost-effective after acute ACL rupture by Vincent Eggerding; Max Reijman; Duncan Edward Meuffels; Eline van Es; Ewoud van Arkel; Igor van den Brand; Joost van Linge; Jacco Zijl; Sita MA Bierma-Zeinstra; Marc Koopmanschap is a Medicine article available to read on EtoBox.

What is ACL reconstruction for all is not cost-effective after acute ACL rupture about?

## Objectives To conduct a cost-utility analysis for two commonly used treatment strategies for patients after ACL rupture; early ACL reconstruction (index) versus rehabilitation plus an optional reconstruction in case of persistent instability (comparator). ## Methods Patients aged between 18 and 65 years of age with a recent ACL rupture (<2 months) were randomised between either an early ACL reconstruction (index) or a rehabilitation plus an optional reconstruction in case of persistent instability (comparator) after 3 months of rehabilitation. A cost-utility analysis was performed to compare both treatments over a 2-year follow-up. Cost-effectiveness was calculated as incremental costs per quality-adjusted life year (QALY) gained, using two perspectives: the healthcare system perspective and societal perspective. The uncertainty for costs and health effects was assessed by means of non-parametric bootstrapping. ## Results A total of 167 patients were included in the study, of which 85 were randomised to the early ACL reconstruction (index) group and 82 to the rehabilitation and optional reconstruction group (comparator). From the healthcare perspective it takes 48 460 € and from

Who reads ACL reconstruction for all is not cost-effective after acute ACL rupture?

Author

Vincent Eggerding; Max Reijman; Duncan Edward Meuffels; Eline van Es; Ewoud van Arkel; Igor van den Brand; Joost van Linge; Jacco Zijl; Sita MA Bierma-Zeinstra; Marc Koopmanschap

Publisher

BMJ

Published

2021

Language

EN

Field

Medicine (Health Sciences)