Cost study of dermal substitutes and topical negative pressure in the surgical treatment of burns

TOPSKIN Study Group

Onderzoeksoutput: ArticleAcademicpeer review


BACKGROUND: A recently performed randomised controlled trial investigated the clinical effectiveness of dermal substitutes (DS) and split skin grafts (SSG) in combination with topical negative pressure (TNP) in the surgical treatment of burn wounds. In the current study, medical and non-medical costs were investigated, to comprehensively assess the benefits of this new treatment.

METHODS: The primary outcome was mean total costs of the four treatment strategies: SSG with or without DS, and with or without TNP. Costs were studied from a societal perspective. Findings were evaluated in light of the clinical effects on scar elasticity.

RESULTS: Eighty-six patients were included. Twelve months post-operatively, highest elasticity was measured in scars treated with DS and TNP (p=0.027). The initial cost price of treatment with DS and TNP was €2912 compared to treatment with SSG alone €1703 (p<0.001). However, mean total costs per patient did not differ significantly between groups (range €29097-€43774).

DISCUSSION: Costs of the interventional treatment contributed maximal 7% to the total costs and total costs varied widely within and between groups, but were not significantly different. Therefore, in the selection of the most optimal type of surgical intervention, cost considerations should not play an important role.

Originele taal-2English
Pagina's (van-tot)388-396
Aantal pagina's9
TijdschriftBurns : journal of the International Society for Burn Injuries
Nummer van het tijdschrift3
StatusPublished - 1 mei 2014
Extern gepubliceerdJa


  • puber
  • volwassenen
  • 80 en ouder
  • brandwonden/economie
  • kosten en kostenanalyse
  • vrouwelijk
  • zorgkosten
  • mensen
  • mannelijk
  • middelbare leeftijd
  • negatieve druk therapie/economie
  • huidtransplantatie/economie
  • huid, kunstmatig/economie
  • jong volwassene


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