Abstract

PALENCIA-SANCHEZ, Francisco; GARCIA-VEGA, Oscar  and  RIANO-CASALLAS, Martha. COST-EFFECTIVENESS OF SURGICAL TREATMENT VS LOCAL STEROIDS IN CARPAL TUNNEL SYNDROME. rev.udcaactual.divulg.cient. [online]. 2018, vol.21, n.1, pp.5-14. ISSN 0123-4226.  https://doi.org/10.31910/rudca.v21.n1.2018.657.

Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy and in turn, the one that most affects the working population whose treatment implies an economic burden to the health system. The aim of this research was to evaluate the cost-effectiveness of conventional surgical treatment and local infiltration of corticosteroids for carpal tunnel syndrome in the Colombian working population. Considering that it is one of the most prevalent occupational diseases, in the country from the perspective of the third payer (Health Promoting Companies and Occupational Risk Insurers). A cost-effectiveness study was carried out in which alternatives of surgical and medical treatment for this pathology were compared, through a decision tree was elaborated in the clinical scenario of a worker with a severe carpal tunnel syndrome for a time horizon of one year, in which the associated direct and indirect costs were included. The results from the scenario and time horizon proposed in relation to this pathology, none of the alternatives turned out to be dominant within the plane of cost-effectiveness. The incremental costeffectiveness ratio of the surgery compared to the application of corticosteroids was 1,974,945.68 pesos for 0.6 cases of improvement. In the sensitivity analysis of Monte Carlo, the local application of corticosteroids was cost-effective in 100% of the cases according to the proposed threshold.

Keywords : Cost-benefit analysis; carpal tunnel syndrome; technology assessment; biomedical.

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