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KMID : 1190620100060020055
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Journal of the Korean Wound Care Society
2010 Volume.6 No. 2 p.55 ~ p.61
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Economic Evaluation of bFGF Spray for Non-inflammatory Pressure Ulcer Patients
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Choi Sang-Eun
Lim Eun-A
Park Ki-Hong
Park Jeong-Ae
Sung Ye-Na
Park Kyung-Hee
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Abstract
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Basic fibroblast growth factor (bFGF) promote wound healing and it can be applied on the clean wound with NPUAP stage II, III, IV patients. We evaluated the cost-effectiveness with bFGF spray. We evaluated cost-utility of bFGF spray from societal perspective. We made 2 scenarios to consider current wound treatment pattern. At the base case scenario, conventional gauze was chosen as a dressing material of bFGF and the comparator was advanced moist dressing, especially polyurethane foam or hydrocolloid which was most frequently used moist dressing product in Korean market. For the other scenario, advanced moist dressing was chosen as a dressing material of bFGF and effectiveness of bFGF spray was assumed to be added to the dressing effectiveness of advanced moist dressing and its alternative was dressing only. At the base case scenario, ICER was 17,080,125 KRW/QALY and ICER from sensitivity analysis was from 13,039,665 KRW to dominated for one more patient having healed wound. The result was robust except for the efficacy of bFGF. Treatment of clean wound with bFGF spray added to dressing therapy was more cost-effective than the treatment with dressing. (J Korean Wound Management Soc 2010;6:55-61)
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KEYWORD
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Pressure ulcer, Fibroblast growth factors, Occlusive dressings, Cost effectiveness
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