• English
    • Welsh
  • English 
    • English
    • Welsh
  • Login
Search DSpace:
  • Home
  • Research at Cardiff Met
  • Library Services
  • Contact Us
View item 
  • DSpace home
  • Cardiff School of Sport and Health Sciences
  • Research Degrees (Sport and Health Sciences)
  • Research Degrees (Health Sciences)
  • View item
  • DSpace home
  • Cardiff School of Sport and Health Sciences
  • Research Degrees (Sport and Health Sciences)
  • Research Degrees (Health Sciences)
  • View item
JavaScript is disabled for your browser. Some features of this site may not work without it.

A decision analysis to assess the cost and cost-effectiveness of surgical removal and non surgical treatment in the management of mandibular third molars

Thumbnail
View/open
Thesis (10.03Mb)
Author
Edwards, Michelle J.
Date
1998
Type
Thesis
Publisher
Cardiff Metropolitan University
Metadata
Show full item record
Abstract
Mandibular third molars are associated with significant pre- and postoperative morbidity. Management of these teeth involves an economic and opportunity cost to both the patient and Health Service. The aims of this research were to determine the optimal management from the dual perspective of the patient and National Health Service (NHS) by assessing the probability, patient health state utilities and the costs of outcomes of mandibular third molar management. A decision tree model was constructed of the possible outcomes following mandibular third molar management. Probability data for each possible outcome were obtained by a literature search and entered in the decision tree. A total of 275 patients were included in the study. These data were entered in the tree as effectiveness data (utilities) and patient incurred cost data. NHS procedure cost data were also collected and entered in the tree. Utility, cost and cost-effectiveness analyses were then conducted. The optimal management assessed by patient health state utilities, the least costly and the most cost-effective management of mandibular third molars was non surgical treatment. This confirmed and extended work previous in this field and emphasised the dynamics of clinical decision making. The role of the contributory factors (patient values and costs and NHS Procedure costs) was also explained. The similarities between the probabilities and utilities in this and previous work suggests that there is a valid decision tree base structure that could be implemented in the field of mandibular third molar treatment planning.
URI
http://hdl.handle.net/10369/6390
Description
MPhil
Collections
  • Research Degrees (Health Sciences) [103]

Related items

Showing items related by title, author, subject and abstract.

  • Thumbnail

    Speech and language therapists’ belief systems and decision making in dysphagia management with dementia patients. 

    Sommers, Jessica (Cardiff Metropolitan University, 2012)
    Background: There is an ongoing debate regarding the most appropriate feeding options for dementia patients with dysphagia due to the presence of conflicting evidence, decisions being made on behalf of those who lack ...
  • Thumbnail

    Supporting carers to manage pain medication in cancer patients at the end of life: A feasibility trial 

    Latter, Sue; Hopkinson, Jane; Lowson, Elizabeth; Hughes, Jane; Hughes, Jacqueline; Duke, Sue; Anstey, Sally; Bennett, Michael; May, Carl; Smith, Peter; Richardson, Alison (Sage, 2017-07-05)
    Background: Carers of people with advanced cancer play a significant role in managing pain medication, yet they report insufficient information and support to do so confidently and competently. There is limited research ...
  • Thumbnail

    Design and Implementation of Swimming Pool Management System 

    Han, Mochuan (Cardiff Metropolitan University, 2017-04)
    The swimming pool is now is not an unfamiliar vocabulary, for the vast number of people it is an inevitable and necessary.And the computer technology is in rapid development, under the dual thrust to promote swimming pool ...

Browse

DSpace at Cardiff MetCommunities & CollectionsBy issue dateAuthorsTitlesSubjectsThis collectionBy issue dateAuthorsTitlesSubjects

My Account

Login

Statistics

Most Popular ItemsStatistics by CountryMost Popular Authors

DSpace software copyright © 2002-2015  DuraSpace
Contact us | Send feedback | Administrator