A Cost-efficacy Decision Analysis of Prophylactic Clip Placement After Endoscopic Removal of Large Polyps Neehar D. Parikh, Kyle Zanocco, Rajesh N. Keswani,

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Presentation transcript:

A Cost-efficacy Decision Analysis of Prophylactic Clip Placement After Endoscopic Removal of Large Polyps Neehar D. Parikh, Kyle Zanocco, Rajesh N. Keswani, Andrew J. Gawron Clinical Gastroenterology and Hepatology Volume 11, Issue 10, Pages 1319-1324 (October 2013) DOI: 10.1016/j.cgh.2012.12.044 Copyright © 2013 AGA Institute Terms and Conditions

Figure 1 Decision tree for prophylactic clip placement. Clinical Gastroenterology and Hepatology 2013 11, 1319-1324DOI: (10.1016/j.cgh.2012.12.044) Copyright © 2013 AGA Institute Terms and Conditions

Figure 2 Sensitivity analysis on probability of postpolypectomy bleed. Clinical Gastroenterology and Hepatology 2013 11, 1319-1324DOI: (10.1016/j.cgh.2012.12.044) Copyright © 2013 AGA Institute Terms and Conditions

Figure 3 Two-way sensitivity analysis of reduction in bleed rate with clip and bleeding rate. Clinical Gastroenterology and Hepatology 2013 11, 1319-1324DOI: (10.1016/j.cgh.2012.12.044) Copyright © 2013 AGA Institute Terms and Conditions

Figure 4 (A) Two-way sensitivity analysis of cost of gastrointestinal (GI) bleed and bleeding rate. (B) Two-way sensitivity analysis of cost of clip and bleeding rate. (C) Two-way sensitivity analysis on number of clips placed and bleeding rate. (D) Two-way sensitivity analysis of utility reduction for hospitalization and bleeding rate. (E) Two-way sensitivity analysis on probability of harm from clip and bleeding rate. Clinical Gastroenterology and Hepatology 2013 11, 1319-1324DOI: (10.1016/j.cgh.2012.12.044) Copyright © 2013 AGA Institute Terms and Conditions