Impact of radiofrequency ablation for patients with varicose veins on the budget of the German statutory health insurance system

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Kuhlmann, Alexander; Prenzler, Anne; Hacker, Jan; Graf von der Schulenburg, J.-Matthias: Impact of radiofrequency ablation for patients with varicose veins on the budget of the German statutory health insurance system. In: Health Economics Reviews 3 (2013), Nr. 1, 9. DOI: http://dx.doi.org/10.1186/2191-1991-3-9

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To cite the version in the repository, please use this identifier: https://doi.org/10.15488/502

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Sum total of downloads: 209




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Abstract: 
Objectives: In contrast to other countries, surgery still represents the common invasive treatment for varicose veins in Germany. However, radiofrequency ablation, e.g. ClosureFast, becomes more and more popular in other countries due to potential better results and reduced side effects. This treatment option may cause less follow-up costs and is a more convenient procedure for patients, which could justify an introduction in the statutory benefits catalogue. Therefore, we aim at calculating the budget impact of a general reimbursement of ClosureFast in Germany. Methods: To assess the budget impact of including ClosureFast in the German statutory benefits catalogue, we developed a multi-cohort Markov model and compared the costs of a “World with ClosureFast” with a “World without ClosureFast” over a time horizon of five years. To address the uncertainty of input parameters, we conducted three different types of sensitivity analysis (one-way, scenario, probabilistic). Results: In the Base Case scenario, the introduction of the ClosureFast system for the treatment of varicose veins saves costs of about 19.1 Mio. € over a time horizon of five years in Germany. However, the results scatter in the sensitivity analyses due to limited evidence of some key input parameters. Conclusions: Results of the budget impact analysis indicate that a general reimbursement of ClosureFast has the potential to be cost-saving in the German Statutory Health Insurance.
License of this version: CC BY 2.0 Unported
Document Type: Article
Publishing status: publishedVersion
Issue Date: 2013
Appears in Collections:Wirtschaftswissenschaftliche Fakultät

distribution of downloads over the selected time period:

downloads by country:

pos. country downloads
total perc.
1 image of flag of Germany Germany 138 66.03%
2 image of flag of United States United States 28 13.40%
3 image of flag of No geo information available No geo information available 8 3.83%
4 image of flag of Russian Federation Russian Federation 6 2.87%
5 image of flag of China China 6 2.87%
6 image of flag of Taiwan Taiwan 2 0.96%
7 image of flag of Poland Poland 2 0.96%
8 image of flag of Netherlands Netherlands 2 0.96%
9 image of flag of Ireland Ireland 2 0.96%
10 image of flag of Austria Austria 2 0.96%
    other countries 13 6.22%

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