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Sharples L, Glover M, Clutterbuck-James A, et al. Clinical effectiveness and cost-effectiveness results from the randomised controlled Trial of Oral Mandibular Advancement Devices for Obstructive sleep apnoea–hypopnoea (TOMADO) and long-term economic analysis of oral devices and continuous positive airway pressure. Southampton (UK): NIHR Journals Library; 2014 Oct. (Health Technology Assessment, No. 18.67.)

Cover of Clinical effectiveness and cost-effectiveness results from the randomised controlled Trial of Oral Mandibular Advancement Devices for Obstructive sleep apnoea–hypopnoea (TOMADO) and long-term economic analysis of oral devices and continuous positive airway pressure

Clinical effectiveness and cost-effectiveness results from the randomised controlled Trial of Oral Mandibular Advancement Devices for Obstructive sleep apnoea–hypopnoea (TOMADO) and long-term economic analysis of oral devices and continuous positive airway pressure.

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Appendix 7Unit costs used and data sources

Resource use itemMean (2011/12 £)SDSourceNotes
MAD
SP1£1.62Pro-rata 4 weeks
SP2£9.85Pro-rata 4 weeks
bMAD£1.95Pro-rata 4 weeks
Measurement consult (maxillofacial surgeon)£5.66£7.42NHS Ref 144: first attendancePro-rata 4 weeks
Fitting consult (maxillofacial surgeon)£4.72£7.43NHS Ref 144: follow-upPro-rata 4 weeks
Dentist visit, SP2 moulding£11.52£13.77NHS Ref CZ38YPro-rata 4 weeks
Additional visit to Addenbrooke’s Hospital (bMAD)£4.72£7.43NHS Ref 144: follow-upPro-rata 4 weeks
Visits
GP visits£43.40£8.68PSSRU 10.8bAssumes 14-minute appointment
GP home visits£28.23£5.65PSSRU 10.8bAssumes 14-minute appointment
Nurse (GP practice) visits£9.10£1.82PSSRU 10.6Assumes 14-minute appointment
Nurse (specialist community) home visits£11.67£2.33PSSRU 10.4Assumes 14-minute appointment
Dentist (normal visit)£105.04£43.96NHS Ref: 450
A&E visit£64.09£15.00NHS Ref: VB11Z
Outpatient clinical visit£105.89£47.08NHS Ref: average of all outpatient procedures
Other hospital visit£105.89£47.08NHS Ref: average of all outpatient procedures
Telephone calls
GP telephone calls£22.00£4.40PSSRU 10.8bAssumes 7.1-minute call
NHS Direct calls£22.00£4.40PSSRU 10.8bAssumes 7.1-minute call
Contacted trial helpline£22.00£4.40PSSRU 10.8bAssumes 7.1-minute call
Hospital admissions
Heart attack
EI£2251.13£1073.39NHS Ref: EB10Z
Excess bed-days£312.29£111.89NHS Ref: EB10Z
NEI£1966.78£674.38NHS Ref: EB10Z
Excess bed-days£242.46£67.30NHS Ref: EB10Z
RTA£64.09£15.00NHS Ref: VB11Z
Stroke
EI£3302.62£2855.17NHS Ref: AA22A/B
Excess bed-days£283.34£82.35NHS Ref: AA22A/B
NEI£3082.45£900.66NHS Ref: AA22A/B
Excess bed-days£236.16£71.92NHS Ref: AA22A/B
Diagnostic tests
MRI£157.24£51.20NHS Ref: average of all MRI codes
CT£136.62£48.84NHS Ref: average of all CT scan codes
Radiography£32.21£6.44Auguste et al.60
Angiogram
Other service use
Ambulance call-out£214.02£53.96NHS Ref: ASS01/02
Hospital overnight stay
Hospital overnight stay (emergency case)
Other classified resource use
Acupuncture£80.33£118.33NHS Ref: HB63Z used as proxy
Counsellor session£60.00PSSRU 2.7
Echocardiogram£84.01£17.34NHS Ref: RA60A
Pre-op assessment£120.71£35.00NHS Ref: 100
Blood test£2.95£1.77NHS Ref: DAP839
Occupational health session£60.68£29.16NHS Ref: 651
Ophthalmologist session£85.12£19.23NHS Ref: 130
Osteopath appointment£40.70£13.20NHS Ref: 650 as proxy
Physiotherapist appointment£40.70£13.20NHS Ref: 650
Health trainer session£40.70£13.20NHS Ref: 650 as proxy
Nasal polyp removal£132.34£51.16NHS Ref: CZ12Y
Podiatrist session£41.17£18.96NHS Ref: 651
Minor surgery£132.34£51.16NHS Ref: CZ12Y used as proxy
Contacted dentist over the telephone£105.04£43.96NHS Ref: 450
Complete heart block, pacemaker fitted, overnight stay£1708.17£901.74NHS Ref: EA39Z
Atrial flutter, 3 days’ hospital stay£1360.98£802.18NHS Ref: EB07I
Tonsillitis, overnight hospital stay£338.62£159.30NHS Ref: CZ01Y
Chest pain, hypertension, day case£446.00£156.91NHS Ref EB04I

CT, computerised tomography; EI, elective inpatient stay; MRI, magnetic resonance imaging; NEI, non-elective inpatient stay.

NB: PSSRU, Personal Social Service Research Unit, 2011.

Copyright © Queen’s Printer and Controller of HMSO 2014. This work was produced by Sharples et al. under the terms of a commissioning contract issued by the Secretary of State for Health. This issue may be freely reproduced for the purposes of private research and study and extracts (or indeed, the full report) may be included in professional journals provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. Applications for commercial reproduction should be addressed to: NIHR Journals Library, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK.

Included under terms of UK Non-commercial Government License.

Bookshelf ID: NBK262696

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