TY - JOUR
AU - Holy, C E
AB - BackgroundDespite several randomized trials, systematic reviews and meta-analyses that have demonstrated the effectiveness of antimicrobial (triclosan-coated or -impregnated) sutures (TCS), the clinical and economic impact of using these sutures compared with conventional non-antimicrobial-coated absorbable sutures (NCS) remains poorly documented.MethodsAn independent systematic review and meta-analysis of all published evidence from January 2005 to September 2016 comparing TCS with NCS was conducted. Surgical-site infection (SSI) was the primary outcome. The results of the meta-analysis were used in a decision-tree deterministic and stochastic cost model, using the National Health Service (NHS England)-based cost of inpatient admissions for infections and differential costs of TCSversus NCS.ResultsThirty-four studies were included in the final assessment from an initial 163 identified citations; 20 of 34 studies were randomized, and 17 of 34 reported blinding of physicians and assessors. Using a random-effects model, the odds ratio for SSI in the TCS compared with NCS control groups was statistically significant (odds ratio 0·61, 95 per cent c.i. 0·52 to 0·73; P < 0·001). There was significant heterogeneity (I2 = 49 per cent). Using random-effects event estimates of SSI for TCS and NCS for each individual wound type, the mean savings per surgical procedure from using antimicrobial sutures were significant: £91·25 (90 per cent c.i. 49·62 to 142·76) (€105·09 (57·15 to 164·41); exchange rate 15 November 2016) across all wound types.ConclusionThe reviewed literature suggested that antimicrobial sutures may result in significant savings across various surgical wound types.
TI - Meta-analysis of the potential economic impact following introduction of absorbable antimicrobial sutures
JO - British Journal of Surgery
DO - 10.1002/bjs.10443
DA - 2017-01-17
UR - https://www.deepdyve.com/lp/oxford-university-press/meta-analysis-of-the-potential-economic-impact-following-introduction-ockH3sH0C8
SP - e134
EP - e144
VL - 104
IS - 2
DP - DeepDyve
ER -