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Autologous breast reconstruction techniques after mammary resection / Sophie Gerkens / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2015)  

Autologous breast reconstruction techniques after mammary resection : time measurements for a potential reevaluation of the surgeon fee [printed text] / Sophie Gerkens , Author ; Stefaan Van de Sande , Author ; Roos Leroy , Author ; Anne-Sophie Mertens, Author ; Jonathan Schreiber, Author ; Dries Van Halewyck, Author ; Jan Bellaert, Author ; Hans Van Brabandt , Author ; Nathalie Swartenbroekx, Author ; Caroline Obyn, Author . - Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre, 2015 . - 102 p. : ill., ; A4. - (KCE Reports. Health Technology Assessment (HTA); 251) . ISSN : D/2015/10/273/77 : € 0,00 Study 2014-25_HTA_Cost_breast_reconstruction Languages : English (eng) Descriptors: Classification W 74 Medical economics. Health care costs (General) Indexation 2014-25 ; Costs and Cost Analysis ; Documents related to KCE studies ; Hospital Costs ; Mammaplasty ; Operative Time ; R251 ; Reimbursement Mechanisms ; Surgical Flaps Contents note: SCIENTIFIC REPORT .9 -- 1 INTRODUCTION 9 -- 1.1 BACKGROUND AND OBJECTIVES 9 -- 1.2 RESEARCH QUESTIONS 9 -- 1.3 DESCRIPTION OF AUTOLOGOUS BREAST RECONSTRUCTION INTERVENTIONS .10 -- 1.3.1 The primary reconstruction or the flap transfer .10 -- 1.3.2 Secondary interventions 14 -- 2 THE CLINICAL EFFECTIVENESS AND SAFETY OF AUTOLOGOUS BREAST RECONSTRUCTION .15 -- 2.1 INTRODUCTION .15 -- 2.2 METHODS 15 -- 2.2.1 Literature search 15 -- 2.2.2 Quality appraisal and data extraction .16 -- 2.3 RESULTS 16 -- 2.4 GENERAL CONCLUSIONS 24 -- 3 BELGIAN PRACTICE: ANALYSES OF BELGIAN HOSPITAL ADMINISTRATIVE DATA 25 -- 3.1 INTRODUCTION .25 -- 3.1.1 Main characteristics of the data sources 25 -- 3.1.2 Cross-sectional data window .26 -- 3.2 METHODS 26 -- 3.2.1 Research questions 26 -- 3.2.2 Target interventions 27 -- 3.2.3 Selection criteria for data extractions .27 -- 3.2.4 Data extraction, transformation and loading (ETL) .27 -- 3.2.5 Checking exhaustiveness of data extraction 29 -- 3.2.6 Check marking codes and stays for breast cancer .29 -- 3.2.7 Research focus tables 29 -- 3.2.8 Grouping interventions and complications 30 -- 3.2.9 Investigating complications in administrative hospital data 31 -- 3.2.10 investigating intervention lead times 32 -- 3.2.11 Calculating fractions and ratios .32 -- 3.2.12 Health insurance costs calculations 33 -- 3.3 RESULTS 34 -- 3.3.1 General results for index interventions .34 -- 3.3.2 Complication rates 40 -- 3.3.3 Intervention lead times 44 -- 3.3.4 Fractions & ratios .45 -- 3.3.5 Health insurance costs 47 -- 3.4 LIMITATIONS AND MAIN FIGURES 51 -- 4 TIME MEASUREMENTS AND VALUATION SCENARIOS FOR THE “SURGEON COST” .53 -- 4.1 INTRODUCTION .53 -- 4.2 SCOPE OF THE STUDY.53 -- 4.2.1 Perspective .53 -- 4.2.2 Treatment considered: the full autologous breast reconstruction episode with flap 53 -- 4.3 TIME DRIVEN COSTING METHODOLOGY 54 -- 4.4 RECRUITMENT AND SELECTION OF THE SURGEON TEAMS 54 -- 4.4.1 Recruitment .54 -- 4.4.2 Candidates 54 -- 4.4.3 Selection 54 -- 4.4.4 Pilot teams 55 -- 4.4.5 Presentation of results 55 -- 4.5 CONSIDERED INTERVENTIONS .55 -- 4.6 THE LIST OF ACTIVITIES RELATED TO THE INTERVENTIONS 58 -- 4.6.1 Activities for the flap transfer 59 -- 4.6.2 Secondary interventions 60 -- 4.6.3 Re-interventions for complications 62 -- 4.7 CONSIDERED RESOURCES 63 -- 4.8 UNIT COSTS FOR EACH RESOURCE AND COST DRIVERS .64 -- 4.8.1 Unit cost for the work done by plastic surgeons and other resources borne by plastic surgeons 64 -- 4.8.2 The work of the surgeons-in-training .68 -- 4.8.3 The work of the tattoo nurse 69 -- 4.8.4 The work of other medical profiles 69 -- 4.8.5 Cost drivers .69 -- 4.9 DATA COLLECTION PLAN AND TEMPLATES .71 -- 4.10 DATA OVERVIEW AND DATA VALIDATION 72 -- 4.11 RESULTS 74 -- 4.11.1 Time results .74 -- 4.11.2 Cost results .83 -- 4.12 SUMMARY OF MAIN FIGURES AND HANDLING OF UNCERTAINTY 93 -- 4.12.1 Constant duration per technique for start and stop activities .93 -- 4.12.2 Variability in intervention duration and man-hours 93 -- 4.13 STUDY LIMITATIONS 97 -- 5 DISCUSSION AND CONCLUSION 98 -- REFERENCES 101 Link for e-copy: https://doi.org/10.57598/R251C Format of e-copy: PDF (1,56 Mb) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=3628

Autologous breast reconstruction techniques after mammary resection / Sophie Gerkens / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2015)  

Autologous breast reconstruction techniques after mammary resection : time measurements for a potential reevaluation of the surgeon fee - Supplement [printed text] / Sophie Gerkens , Author ; Stefaan Van de Sande , Author ; Roos Leroy , Author ; Anne-Sophie Mertens, Author ; Jonathan Schreiber, Author ; Dries Van Halewyck, Author ; Jan Bellaert, Author ; Hans Van Brabandt , Author ; Nathalie Swartenbroekx, Author ; Caroline Obyn, Author . - Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre, 2015 . - 85 p. : ill., ; A4. - (KCE Reports. Health Technology Assessment (HTA); 251S) . ISSN : D/2015/10.273/78 : € 0,00 Study 2014-25_HTA_Cost_breast_reconstruction Languages : English (eng) Descriptors: Classification W 74 Medical economics. Health care costs (General) Indexation 2014-25 ; Costs and Cost Analysis ; Documents related to KCE studies ; Hospital Costs ; Mammaplasty ; Operative Time ; R251 ; Reimbursement Mechanisms ; Surgical Flaps Contents note: APPENDICES 4 -- 1 CLINICAL LITERATURE REVIEW 4 -- 1.1 SEARCH STRATEGIES - ELECTRONIC REFERENCE DATABASES: MEDLINE (THROUGH OVID), EMBASE AND THE COCHRANE LIBRARY 4 -- 1.2 STUDY SELECTION AND QUALITY APPRAISAL 10 -- 1.2.1 Flow chart for selection procedure 10 -- 1.2.2 Study selection 11 -- 1.3 QUALITY APPRAISAL OF INCLUDED SYSTEMATIC REVIEWS 13 -- 1.4 EVIDENCE TABLES OF INCLUDED SYSTEMATIC REVIEWS 15 -- 1.4.1 Research question 1: In women who underwent a mastectomy, what is the clinical effectiveness in terms of quality of life in those women who had an autologous breast reconstruction, compared with women who had a breast reconstruction with implants, or a mastectomy without reconstruction? 15 -- 1.4.2 Research question 2: What are the adverse outcomes associated with autologous breast reconstruction? 21 -- 1.4.3 Research question 3: What is the impact of radiotherapy on an autologous breast reconstruction? 27 -- 2 NATIONAL HOSPITAL STAYS DATABASE (NHDB) 34 -- 3 ICD-9-CM PROCEDURE CODES FOR MAMMARY INTERVENTIONS (VERSION DATE: 2015-05-29) 37 -- 4 NIHDI BILLING CODES FOR MAMMARY INTERVENTIONS (VERSION DATE: 2015-05-29) 45 -- 5 – ICD-9-CM DIAGNOSES FOR MAMMARY INTERVENTIONS (VERSION DATE: 2015-05-29) 58 -- 6 INCLUSION-EXCLUSION CRITERIA FOR STAYS AND PATIENTS 69 -- 7 FLAGGING CODES AND STAYS FOR BREAST CANCER INVOLVEMENT 70 -- 8 EXHAUSTIVENESS WITH EXTRACTION-INCLUSION-EXCLUSION 75 -- 8.1 INTERVENTIONS IN HBD 75 -- 8.2 INTERVENTIONS IN MCD 76 -- 8.3 APR-DRG LEVEL 78 -- 9 GROUPING INTERVENTIONS AND COMPLICATIONS 79 -- 10 LEAD TIME AND RATIO CALCULATIONS WITH CENSORED DATA 82 -- 10.1 INTERVENTION LEAD TIMES 82 -- 10.2 NUMERATORS & DENOMINATORS 82 -- 10.3 LEAD TIMES STATISTICS 83 -- 10.4 FRACTIONS AND RATIOS 83 -- REFERENCES 85 Link for e-copy: https://doi.org/10.57598/R251S Format of e-copy: PDF (716 Kb) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=3629

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Autologous breast reconstruction techniques after mammary resection / Sophie Gerkens / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2015)  

Autologous breast reconstruction techniques after mammary resection : time measurements for a potential reevaluation of the surgeon fee - synthesis [printed text] / Sophie Gerkens , Author ; Stefaan Van de Sande , Author ; Roos Leroy , Author ; Anne-Sophie Mertens, Author ; Jonathan Schreiber, Author ; Dries Van Halewyck, Author ; Jan Bellaert, Author ; Hans Van Brabandt , Author ; Nathalie Swartenbroekx, Author ; Caroline Obyn, Author . - Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre, 2015 . - 30 p. : ill., ; A4. - (KCE Reports. Health Technology Assessment (HTA); 251Cs) . ISSN : D/2015/10.273/76 : € 0,00 Study 2014-25_HTA_Cost_breast_reconstruction Languages : English (eng) Descriptors: Classification W 74 Medical economics. Health care costs (General) Indexation 2014-25 ; Costs and Cost Analysis ; Documents related to KCE studies ; Hospital Costs ; Mammaplasty ; Operative Time ; R251 ; Reimbursement Mechanisms ; Surgical Flaps Link for e-copy: https://doi.org/10.57598/R251CS Format of e-copy: PDF (494 Kb) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=3741

Belgian guidelines for budget impact analyses / Mattias Neyt in Acta Clinica Belgica, 70(2015)03 ([06/01/2015])  

[article] Belgian guidelines for budget impact analyses [printed text] / Mattias Neyt , Author ; Irina Cleemput ; Stefaan Van de Sande ; Nancy Thiry . - 2015 . - 175-180. Languages : English (eng) in Acta Clinica Belgica > 70(2015)03 [06/01/2015] . - 175-180 Descriptors: Classification W 1 Serials. Periodicals Indexation 2011-44 ; Belgium ; Budgets ; Economic Evaluation ; Journal Article ; Practice Guideline [Publication type] ; R183 ; Reimbursement Mechanisms Abstract: Objectives: To develop methodological guidelines for budget impact analysis submitted to the Belgian health authorities as part of a reimbursement request. Methods: A review of the literature was performed and provided the basis for preliminary budget impact guidelines. These guidelines were improved after discussion with health economists from the Belgian Health Care Knowledge Centre (KCE) and different Belgian stakeholders from both government and industry. Preliminary guidelines were also discussed in a workshop with health economists from The German Institute for Quality and Efficiency in Healthcare. Finally, the guidelines were also externally validated by three external experts. Results: The guidelines give explicit guidance for the following components of a budget impact analysis: perspective of the evaluation, target population, comparator, costs, time horizon, modeling, handling uncertainty and discount rate. Special attention is given to handling varying target population sizes over time, applying a time horizon up to the steady state instead of short-term predictions, and similarities and differences between budget impact analysis and economic evaluations. Conclusion: The guidelines provide a framework for both researchers and assessors to set up budget impact analyses that are transparent, relevant, of high quality and apply a consistent methodology. This might improve the extent to which such evaluations can reliably and consistently be used in the reimbursement decision making process. Link for e-copy: http://dx.doi.org/10.1179/2295333714Y.0000000118 Format of e-copy: PDF [Requires Subscription) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=3662 [article]

Belgian guidelines for economic evaluations / Nancy Thiry in International Journal of Technology Assessment in Health Care, 30(2014)06 ([12/01/2014])  

[article] Belgian guidelines for economic evaluations : 2nd edition [printed text] / Nancy Thiry, Author ; Mattias Neyt , Author ; Stefaan Van de Sande , Author ; Irina Cleemput , Author . - 2014 . - 601-607. Languages : English (eng) in International Journal of Technology Assessment in Health Care > 30(2014)06 [12/01/2014] . - 601-607 Descriptors: Classification QV 736 Drug industry. Economics of pharmacy. Advertising Indexation 2011-44 ; Belgium ; Economics, Pharmaceutical ; Guidelines as Topic ; Journal Article ; Peer Review ; R183 Abstract: OBJECTIVES: The aim of this study was to present the updated methodological guidelines for economic evaluations of healthcare interventions (drugs, medical devices, and other interventions) in Belgium. METHODS: The update of the guidelines was performed by three Belgian health economists following feedback from users of the former guidelines and personal experience. The updated guidelines were discussed with a multidisciplinary team consisting of other health economists, assessors of reimbursement request files, representatives of Belgian databases and representatives of the drugs and medical devices industry. The final document was validated by three external validators that were not involved in the previous discussions. RESULTS: The guidelines give methodological guidance for the following components of an economic evaluation: literature review, perspective of the evaluation, definition of the target population, choice of the comparator, analytic technique and study design, calculation of costs, valuation of outcomes, definition of the time horizon, modeling, handling uncertainty and discounting. We present a reference case that can be considered as the minimal requirement for Belgian economic evaluations of health interventions. CONCLUSIONS: These guidelines will improve the methodological quality, transparency and uniformity of the economic evaluations performed in Belgium. The guidelines will also provide support to the researchers and assessors performing or evaluating economic evaluations. Link for e-copy: http://dx.doi.org/10.1017/S0266462314000725 Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=3655 [article]

Belgian guidelines for economic evaluations and budget impact analyses / Irina Cleemput / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2012)  

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Belgische richtlijnen voor economische evaluaties en budget impact analyses / Irina Cleemput / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2012)  

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Borstreconstructie na kanker / Sophie Gerkens / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2015)  

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Cancer screening: EU recommendations and current practice in Belgium / Mattias Neyt in Archives of Public Health, 66(2008)3 ([09/01/2009])  

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Comment accroître le recours à la chirurgie de jour en Belgique ? / Roos Leroy / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2017)  

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A cost-utility analysis of transcatheter aortic valve implantation in Belgium / Mattias Neyt in BMJ open, 2(2012)03 ([05/04/2012])  

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Couplage de l’échantillon permanent avec les données hospitalières / Cécile Camberlin / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2013)  

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Couplage de l’échantillon permanent avec les données hospitalières / Cécile Camberlin / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2013)  

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Coupling of the Permanent Sample with the Hospital Data / Cécile Camberlin / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2013)  

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[Economic evaluation of antiviral treatment of chronic hepatitis B in Belgium] / Christoph Schwierz / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2011)  

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