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- W2085391207 abstract "Question To evaluate the effectiveness and costs of the strategies Breech Version using Acumoxa and expectant management for women with a breech fetus at 33 weeks gestation. Methods A decision model was developed to compare Acumoxa with expectant management to rectify breech presentation, including associated events as External Cephalic Version (ECV), treatment compliance, and costs. We calculated percentages of breech presentations at term, caesarean sections, and costs from the third-party payer perspective. Odds Ratios (OR) and cost differences of Acumoxa versus expectant management were calculated. (Probabilistic) sensitivity analysis and expected value of perfect information analysis were performed. Results The percentage of breech presentations after Acumoxa was 32% versus expectant management 53%, (OR 0.61, 95%CI 0.43, 0.83). After Acumoxa, the percentage caesarean sections was 37% versus expectant management 50% (OR 0.73, 95%CI 0.59, 0.88). The mean cost-savings per woman was €451 (95%CI €109, €775; p=0.005) using Acumoxa. Sensitivity analysis showed that if 16% or more women offered Acumoxa complied, it was more effective and less costly than expectant management. To prevent one caesarean section, 7 women had to use Acumoxa. The expected value of perfect information from further research was €0.32 per woman. Conclusions Our results suggest that offering Acumoxa to women with a breech foetus at 33 weeks gestation reduces the number of breech presentations at term, thus reducing the number of caesarean sections, and is cost-effective compared with expectant management including associated events as External Cephalic Version." @default.
- W2085391207 created "2016-06-24" @default.
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- W2085391207 date "2009-12-01" @default.
- W2085391207 modified "2023-09-25" @default.
- W2085391207 title "Cost-effectiveness of Breech Version by Acumoxa for women with a breech fetus at 33 weeks gestation: A modelling approach" @default.
- W2085391207 doi "https://doi.org/10.1016/j.eujim.2009.08.068" @default.
- W2085391207 hasPublicationYear "2009" @default.
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