Surgery versus collagen for female stress urinary incontinence: economic assessment in Ontario and Quebec
Mark Oremus1,2, Jean-Paul Collet1,2,3, Stanley H. Shapiro1,2, John Penrod4,5, Jacques Corcos6,7
Canadian Journal of Urology, Vol.10, No.4, pp. 1934-1944, 2003
Abstract Introduction and objective: The purpose of this study was to evaluate the cost-effectiveness of surgery versus collagen injection to treat female stress urinary incontinence after the failure of initial surgical treatment. The analysis was conducted from the health care system perspectives of Ontario and Quebec.
Materials and methods: A decision-tree was constructed to compare each of three surgeries (i.e., retropubic suspension, transvaginal suspension, sling procedures) with collagen. An average cost estimate was generated for each intervention, as was an incremental cost-effectiveness ratio for each surgery-collagen comparison.
Results: In both Ontario and Quebec, the treatment with the lowest average cost… More >