Cost-effectiveness of the utilization of “good practice” or the lack thereof according to a bronchiolitis evidence-based clinical practice guideline

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dc.contributor.authorRodríguez-Martínez, Carlos E.
dc.contributor.authorSossa-Briceño, Mónica P.
dc.contributor.authorCastro-Rodriguez, Jose A.
dc.date.accessioned2020-05-07T23:03:20Z
dc.date.available2020-05-07T23:03:20Z
dc.date.issued2019
dc.description.abstractenglishRationale, aims, and objectives The aim of the present study was to determine the cost‐effectiveness of the utilization of “good practice” according to a bronchiolitis clinical practice guideline (CPG) in a population of infants hospitalized for acute bronchiolitis. Method A decision‐analysis model was developed in order to estimate the cost‐effectiveness of the utilization of “good practice” compared with the lack of use of “good practice” according to a bronchiolitis evidence‐based CPG. The effectiveness parameters and costs of the model were obtained from electronic medical records. The main outcome was the readmission of the patients within 10 days of post discharge. Results Compared with lack of “good practice,” the utilization of “good practice” in the diagnosis and management of patients with bronchiolitis was associated with both fewer patients readmitted within 10 days of post discharge (0.88 vs 0.99 on average per patient) and lower costs (US$1529.3 versus $1709.1 average cost per patient), thus leading to dominance. Results were robust to deterministic and probabilistic sensitivity analyses. Conclusions Compared with lack of “good practice,” the utilization of “good practice” in the diagnosis and management of acute bronchiolitis according to a bronchiolitis CPG is a dominant strategy because it involves both fewer patients readmitted within 10 days of post discharge and lower costs.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1111/jep.13157
dc.identifier.issn1356-1294
dc.identifier.urihttps://hdl.handle.net/20.500.12495/2506
dc.language.isoeng
dc.publisherWiley-Blackwellspa
dc.publisher.journalJournal of evaluation in clinical practicespa
dc.relation.ispartofseriesJournal of evaluation in clinical practice, 1356-1294, Vol. 25, Nro. 4, 2019, p. 682-688spa
dc.relation.urihttps://onlinelibrary.wiley.com/doi/abs/10.1111/jep.13157
dc.rights.creativecommons2019
dc.rights.localAcceso cerradospa
dc.subject.decsAnálisis Costo-Eficienciaspa
dc.subject.decsGuía de práctica clínicaspa
dc.subject.decsBronquiolitisspa
dc.titleCost-effectiveness of the utilization of “good practice” or the lack thereof according to a bronchiolitis evidence-based clinical practice guidelinespa
dc.title.translatedCost-effectiveness of the utilization of “good practice” or the lack thereof according to a bronchiolitis evidence-based clinical practice guidelinespa
dc.typearticlespa
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.type.localartículospa

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