Economic evaluation of stapling for grade II haemorrhoids

Economic evaluation of stapling for grade II haemorrhoids

This study involved three elements: (1) an economic evaluation alongside a randomised controlled trial (RCT) of these two treatments; (2) an economic evaluation based on a Markov model to combine the results of the RCT with data from other sources in order to assess longer term cost-effectiveness; and (3) a value of information analysis to identify which parameters of the model require further data collection.

Outcome and Translation

The study showed that effective stapling was unlikely to be cost-effective for this group of patients, and therefore no evidence that current management for these patients should change. The study laid the foundations for a successful bid for a major trial comparing the same technology but for more severe disease.

HERU researchers involved in this research publication: Luke Vale (HERU/HSRU) and Lynda McKenzie

External Collaborators: M Louden (Grampian University Hospitals Trust); A Watson (Department of Surgery, University of Aberdeen) and M Campbell (HSRU, University of Aberdeen)

Publications

McKenzie, L., de Verteuil, R., Cook, J., Shanmugam, V., Loudon, MA., Watson, AJ. and Vale, L. (2006) 'Economic evaluation of stapled haemorrhoidopexy compared with rubber band ligation in first line treatment of symptomatic grade II haemorrhoids', British Journal of Surgery, 93 (Suppl. 1), 27.

Shanmugam, V., Watson, A.J., Cook, J., Vale, L. and London, MA. (2006) 'Stapled haemorrhoidopexy achieves better symptom control than rubber ligation in the treatment of symptomatic grade II haemorrhoids', British Journal of Surgery, 93 (Suppl. 1), 26.

Shanmugam, V., Watson, A.J., Cook, J., Vale, L. and Loudon, MA. (2006) 'Stapled haemorrhoidopexy achieves better symptom control than rubber band ligation in the treatment of symptomatic grade II haemorrhoids', Colorectal Disease, 8 (Suppl. 2), 54.

Shanmugam, V., Loudon, MA., Watson, AJ., Cook, J. and Vale, L. (2006) 'Economic evaluation of stapled haemorrhoidopexy compared with rubber band ligation in first line treatment of symptomatic grade II haemorrhoids' Colorectal Disease, 8 (Suppl. 2), 52.

McKenzie, L., de Verteuil, R., Cook, J., Shanmugam, V., Loudon, M., Watson, A.J.M. and Vale, L. (2010) 'Economic evaluation of the treatment of grade II haemorrhoids: a comparison of stapled haemorrhoidopexy and rubber band ligation', Colorectal Disease, 12(6), 587-593.

Shanmugam, V., Muthukumarasamy, G., Cook, J.A., Vale, L., Watson, A.J.M. and Loudon, M.A. (2010) 'Randomized controlled trial comparing rubber band ligation with stapled haemorrhoidopexy for Grade II circumferential haemorrhoids: long-term results', Colorectal Disease, 12(6), 579-586.

Presentations

Shanmugam, V., Loudon, MA., Watson, A., Cook, J., McKenzie, L., de Verteuil, R. and Vale, L. (2006) 'Economic evaluation of stapled haemorrhoidopexy compared with rubber band ligation in first line treatment of symptomatic grade II haemorrhoids', Association of Surgeons of GB and Ireland, Edinburgh, May 2006.

Shanmugam, V., Watson, AJ., Cook, J., Vale, L. and Loudon, MA. (2006) 'Stapled haemorrhoidopexy achieves better symptom control than rubber band ligation in the treatment of symptomatic grade II haemorrhoids', Association of Surgeons of GB and Ireland, Edinburgh, May 2006.

Shanmugam, V., Loudon, MA., Watson, A., Cook, J., McKenzie, L., de Verteuil, R. and Vale, L. (2006) 'Economic evaluation of stapled haemorrhoidopexy compared with rubber band ligation in first line treatment of symptomatic grade II haemorrhoids', Association of Coloproctology of GB and Ireland, Gateshead, July 2006.

Shanmugam, V., Watson, AJ., Cook, J., Vale, L. and Loudon, MA. (2006) 'Stapled haemorrhoidopexy achieves better symptom control than rubber band ligation in the treatment of symptomatic grade II haemorrhoids', Association of Coloproctology of GB and Ireland, Gateshead, July 2006.

Shanmugam, V., Loudon, MA., Watson, A., Cook, J., McKenzie, L., de Verteuil, R. and Vale, L. (2006) 'Economic evaluation of stapled haemorrhoidopexy compared with rubber band ligation in first line treatment of symptomatic grade II haemorrhoids', American Society of Coloproctology, Miami, 2006.