Volume 17, Issue 8, Pages (December 2014)

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Volume 17, Issue 8, Pages 801-813 (December 2014) Cost-Effectiveness of Three Adjunct Cellular/Tissue-Derived Products Used in the Management of Chronic Venous Leg Ulcers  Marissa J. Carter, PhD, MA, Curtis Waycaster, PhD, Kathleen Schaum, MS, Adrienne M. Gilligan, PhD  Value in Health  Volume 17, Issue 8, Pages 801-813 (December 2014) DOI: 10.1016/j.jval.2014.08.001 Copyright © 2014 International Society for Pharmacoeconomics and Outcomes Research (ISPOR) Terms and Conditions

Fig. 1 Trial flow diagram showing retrieval and selection of articles for model input. Value in Health 2014 17, 801-813DOI: (10.1016/j.jval.2014.08.001) Copyright © 2014 International Society for Pharmacoeconomics and Outcomes Research (ISPOR) Terms and Conditions

Fig. 2 Health states of VLUs for Markov modeling. Each treatment pathway involved three Markov health states: unhealed, healed, and dead. The unhealed state was equated to having a VLU, and the healed state was equated to having a healed VLU. The bidirectional arrow between the unhealed and healed states in the Markov diagram represents ulcer recurrence. VLU, venous leg ulcer. Value in Health 2014 17, 801-813DOI: (10.1016/j.jval.2014.08.001) Copyright © 2014 International Society for Pharmacoeconomics and Outcomes Research (ISPOR) Terms and Conditions

Fig. 3 Comparison of healed wound weeks among SC and three cellular/tissue-derived product treatment approaches in relation to SC for the management of venous leg ulcers. ECM, extracellular matrix; HSE, human skin equivalent; LSE, living skin equivalent; SC, standard care. Value in Health 2014 17, 801-813DOI: (10.1016/j.jval.2014.08.001) Copyright © 2014 International Society for Pharmacoeconomics and Outcomes Research (ISPOR) Terms and Conditions

Fig. 4 Comparison of expected wound closure rates among three cellular/tissue-derived product treatment approaches in relation to SC for the management of venous leg ulcers. ECM, extracellular matrix; HSE, human skin equivalent; LSE, living skin equivalent; SC, standard care. Value in Health 2014 17, 801-813DOI: (10.1016/j.jval.2014.08.001) Copyright © 2014 International Society for Pharmacoeconomics and Outcomes Research (ISPOR) Terms and Conditions

Fig. 5 Comparison of cumulative costs among three cellular/tissue-derived product treatment approaches in relation to SC for the management of venous leg ulcers. ECM, extracellular matrix; HSE, human skin equivalent; LSE, living skin equivalent; SC, standard care. Value in Health 2014 17, 801-813DOI: (10.1016/j.jval.2014.08.001) Copyright © 2014 International Society for Pharmacoeconomics and Outcomes Research (ISPOR) Terms and Conditions

Fig. 6 Tornado diagram demonstrating the influence of parameter uncertainty on the expected cost of therapy. ECM, extracellular matrix; SC, standard care. Value in Health 2014 17, 801-813DOI: (10.1016/j.jval.2014.08.001) Copyright © 2014 International Society for Pharmacoeconomics and Outcomes Research (ISPOR) Terms and Conditions

Fig. 7 Probabilistic sensitivity analysis by treatment. Each point on the plot corresponds to one trial in the Monte-Carlo simulation comparing the incremental effectiveness and incremental costs of therapy. Costs for SC and ECM were consistently the lowest and effectiveness the highest for the treatment of venous leg ulcers. ECM, extracellular matrix; HSE, human skin equivalent; LSE, living skin equivalent; SC, standard care. Value in Health 2014 17, 801-813DOI: (10.1016/j.jval.2014.08.001) Copyright © 2014 International Society for Pharmacoeconomics and Outcomes Research (ISPOR) Terms and Conditions