Table 4.
Unit costs of adverse events for SNS.
| Event | Unit cost | Cost per person | Reference/assumption |
|---|---|---|---|
| Temporary SNS | |||
| Electrode defect/dislocation | |||
| Consultation | 93 | 46.50 | NHS reference costs.30 Consultant-led: follow-up attendance nonadmitted face to face, colorectal surgery |
| Electrode replacement | 599 | 299.50 | NHS reference costs.30 Intermediate pain procedure, day case |
| New electrode | 210 | 52.50 | Medtronic, 2013 (personal communication) |
| Paracetamol 500 mg for 7 days | 2.88 | 1.44 | BNF, 2014. Nonproprietary, 0.5–1.0 g every 4–6 h |
| Pain in the stimulation site | |||
| Consultation | 93 | 11.63 | NHS reference costs.30 Consultant-led: follow-up attendance nonadmitted face to face, colorectal surgery |
| Electrode re-positioning | 599 | 74.88 | NHS reference costs.30 Intermediate pain procedure, day case |
| New electrode | 210 | 13.13 | Medtronic 2013 (personal communication). |
| Paracetamol 500 mg for 7 days | 2.88 | 0.36 | BNF, 2014. Nonproprietary, 0.5–1.0 g every 4–6 h |
| Wound infection | |||
| Consultation | 93 | 11.63 | NHS reference costs.30 Consultant-led: follow-up attendance nonadmitted face to face, colorectal surgery |
| Wound revision/removal of electrode | 599 | 74.88 | NHS reference costs.30 Consultant-led: follow-up attendance nonadmitted face to face, colorectal surgery |
| Co-amoxiclav 500/125 mg for 5 days | 3.03 | 0.38 | BNF, 2014. Sandoz, 1 tablet every 12 h |
| Paracetamol 500 mg for 7 days | 2.88 | 0.36 | BNF, 2014. Nonproprietary, 0.5–1.0 g every 4–6 h |
| Post-operation check | 93 | 11.63 | NHS reference costs.30 Consultant-led: follow-up attendance nonadmitted face to face, colorectal surgery |
| Re-implantation of electrode | 599 | 74.88 | NHS reference costs.30 Intermediate pain procedure, day case |
| New electrode | 210 | 13.13 | Medtronic, 2013 (personal communication) |
| Loss of effectiveness | |||
| Removal of electrode | 93 | 23.25 | NHS reference costs.30 Consultant-led: follow-up attendance nonadmitted face to face, colorectal surgery |
| Cost of adverse events for temporary SNS adjusted for probability (Table 1) | 156.21 | ||
| Permanent SNS | |||
| Electrode dislocation | |||
| Consultation | 93 | 34.88 | NHS reference costs.30 Consultant-led: follow-up attendance nonadmitted face to face, colorectal surgery |
| Re-positioning of electrode | 4,268.00 | 1,600.50 | NHS reference costs.30 Insertion of neurostimulator or intrathecal drug delivery device, day case |
| Postoperative medication | |||
| Co-codamol 8/500 mg for 14 days | 3.4 | 1.28 | BNF, 2014. Nonproprietary, 100-tab pack, 1–2 tablets every 4–6 h |
| Co-amoxiclav 500/125 mg for 5 days | 3.03 | 1.14 | BNF, 2014. Sandoz, 21-tab pack, 1 tablet every 12 h |
| Post-operation check | 93 | 34.88 | NHS reference costs.30 Consultant-led: follow-up attendance nonadmitted face to face, colorectal surgery |
| Pain in the stimulation site | |||
| Consultation | 93 | 11.63 | NHS reference costs.30 Consultant-led: follow-up attendance nonadmitted face to face, colorectal surgery |
| Re-positioning of device | 599 | 74.88 | NHS reference costs.30 Intermediate pain procedure, day case |
| Paracetamol 500 mg for 7 days | 2.88 | 0.36 | BNF, 2014. Nonproprietary, 0.5–1.0 g every 4–6 h |
| Post-operation check | 93 | 11.63 | NHS reference costs.30 Consultant-led: follow-up attendance nonadmitted face to face, colorectal surgery |
| Wound infection | |||
| Consultation | 93 | 34.88 | NHS reference costs.30 Consultant-led: follow-up attendance nonadmitted face to face, colorectal surgery |
| Wound revision/device removal | 599 | 224.63 | NHS reference costs.30 Intermediate pain procedure, day case |
| Postoperative medication | |||
| Co-codamol 8/500 mg for 14 days | 3.4 | 0.43 | BNF, 2014. Nonproprietary, 100-tab pack, 1–2 tablets every 4–6 h |
| Co-amoxiclav 500/125 mg for 5 days | 3.03 | 0.38 | BNF, 2014. Sandoz, 21-tab pack, 1 tablet every 12 h |
| Post-operation check | 93 | 34.88 | NHS reference costs.30 Consultant-led: follow-up attendance nonadmitted face to face, colorectal surgery |
| Re-implantation | 4,268.00 | 533.50 | NHS reference costs.30 Insertion of neurostimulator or intrathecal drug delivery device, day case |
| New device | 7,750.00 | 968.75 | Cost of device for permanent SNS (see Table 3) |
| Postoperative medication | |||
| Co-codamol 8/500 mg for 14 days | 3.4 | 0.43 | BNF, 2014. Nonproprietary, 100-tab pack, 1–2 tablets every 4–6 h |
| Co-amoxiclav 500/125 mg for 5 days | 3.03 | 0.38 | BNF, 2014. Sandoz, 21-tab pack, 1 tablet every 12 h |
| Post-operation check | 93 | 11.63 | NHS reference costs.30 Consultant-led: follow-up attendance nonadmitted face to face, colorectal surgery |
| Loss of effectiveness | |||
| Consultation | 93 | 11.63 | NHS reference costs.30 Consultant-led: follow-up attendance nonadmitted face to face, colorectal surgery |
| Removal of device | 599 | 74.88 | NHS reference costs.30 Intermediate pain procedure, day case |
| Paracetamol 500 mg for 7 days | 2.88 | 0.36 | BNF, 2014. Nonproprietary, 0.5–1.0 g every 4–6 h |
| Cost of adverse events for permanent SNS adjusted for probability (Table 1) | 880.28 | ||
NHS, National Health Service; SNS, sacral nerve stimulation.