Clinical Nutrition ESPEN

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Presentation transcript:

Clinical Nutrition ESPEN A cost utility analysis on weaning patients with short bowel off parenteral nutrition following restoration of bowel continuity  F. Adaba, T. Webb, F. Iqbal, J. Eastwood, S.M. Gabe, E. Tan, C.J. Vaizey, J.M.D. Nightingale, J. Warusavitarne  Clinical Nutrition ESPEN  Volume 19, Pages 23-30 (June 2017) DOI: 10.1016/j.clnesp.2017.01.014 Copyright © 2017 European Society for Clinical Nutrition and Metabolism Terms and Conditions

Fig. 1 Markov state transition diagram. Clinical Nutrition ESPEN 2017 19, 23-30DOI: (10.1016/j.clnesp.2017.01.014) Copyright © 2017 European Society for Clinical Nutrition and Metabolism Terms and Conditions

Fig. 2 Scatter plots showing incremental cost-effectiveness results for restoration of bowel continuity. Each point represents a simulation. Costs are in British pounds (£). Clinical Nutrition ESPEN 2017 19, 23-30DOI: (10.1016/j.clnesp.2017.01.014) Copyright © 2017 European Society for Clinical Nutrition and Metabolism Terms and Conditions

Fig. 3 Scatter plots of probabilistic sensitivity analysis of restoration of bowel continuity versus no restoration of bowel continuity. Costs are in British pounds (£). Clinical Nutrition ESPEN 2017 19, 23-30DOI: (10.1016/j.clnesp.2017.01.014) Copyright © 2017 European Society for Clinical Nutrition and Metabolism Terms and Conditions

Fig. 4 Sensitivity analysis showing restoration of bowel continuity dominates not having a restoration of bowel continuity. Clinical Nutrition ESPEN 2017 19, 23-30DOI: (10.1016/j.clnesp.2017.01.014) Copyright © 2017 European Society for Clinical Nutrition and Metabolism Terms and Conditions

Fig. 5 Sensitivity analysis around the probability of stopping HPN within 3 months after restoration of bowel continuity. (WTP = £ 20000). Clinical Nutrition ESPEN 2017 19, 23-30DOI: (10.1016/j.clnesp.2017.01.014) Copyright © 2017 European Society for Clinical Nutrition and Metabolism Terms and Conditions

Fig. 6 Sensitivity analysis on the discount rate for effects. (WTP = £ 20000). Clinical Nutrition ESPEN 2017 19, 23-30DOI: (10.1016/j.clnesp.2017.01.014) Copyright © 2017 European Society for Clinical Nutrition and Metabolism Terms and Conditions

Fig. 7 Sensitivity analysis on the uncertainties surrounding the cost for restoring bowel continuity. (WTP = £ 20000). Clinical Nutrition ESPEN 2017 19, 23-30DOI: (10.1016/j.clnesp.2017.01.014) Copyright © 2017 European Society for Clinical Nutrition and Metabolism Terms and Conditions

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