{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T21:57:22Z","timestamp":1747173442862,"version":"3.40.5"},"reference-count":35,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2023,1,18]],"date-time":"2023-01-18T00:00:00Z","timestamp":1674000000000},"content-version":"unspecified","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Technol Assess Health Care"],"published-print":{"date-parts":[[2023]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S0266462322003361_sec1\">\n\t    <jats:title>Aims<\/jats:title>\n\t    <jats:p>Numerous studies have shown that arthroscopic partial meniscectomy (APM) is not (cost-) effective in patients with symptoms attributed to a degenerative meniscus tear. We aimed to assess the budget impact of reducing APM in routine clinical practice in this population.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S0266462322003361_sec2\" sec-type=\"materials\">\n\t    <jats:title>Materials and methods<\/jats:title>\n\t    <jats:p>A patient-level state transition model was developed to simulate patients recently diagnosed with a degenerative meniscus tear. Three strategies were compared: \u201ccurrent guideline\u201d (i.e., postpone surgery to at least 3\u00a0months after diagnosis), \u201cAPM at any time\u201d (i.e., APM available directly after diagnosis), and \u201cnonsurgical\u201d (i.e., APM no longer performed). Total societal costs over 5\u00a0years were calculated to determine the budget impact. Probabilistic and deterministic sensitivity analyses were conducted to address uncertainty.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S0266462322003361_sec3\" sec-type=\"results\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>The average cost per patient over 5\u00a0years were EUR 5,077, EUR 4,577, and EUR 4,218, for the \u201cAPM at any time,\u201d \u201ccurrent guideline,\u201d and \u201cnonsurgical\u201d strategy, respectively. Removing APM from the treatment mix (i.e., 30,000 patients per year) in the Netherlands, resulted in a reduction in health care expenditures of EUR 54\u00a0million (95 percent confidence interval [CI] EUR 38\u00a0million\u2013EUR 70\u00a0million) compared to the \u201ccurrent guideline strategy\u201d and EUR 129\u00a0million (95 percent CI EUR 102\u00a0million\u2013EUR 156\u00a0million) compared to the \u201cAPM at any time\u201d strategy. Sensitivity analyses showed that uncertainty did not alter our conclusions.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S0266462322003361_sec4\" sec-type=\"conclusions\">\n\t    <jats:title>Conclusions<\/jats:title>\n\t    <jats:p>Substantial costs can be saved when APM is no longer performed to treat symptoms attributed to degenerative meniscus tears in the Netherlands. It is therefore recommended to further reduce the use of APM to treat degenerative meniscus tears.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/s0266462322003361","type":"journal-article","created":{"date-parts":[[2023,1,18]],"date-time":"2023-01-18T06:08:07Z","timestamp":1674022087000},"source":"Crossref","is-referenced-by-count":0,"title":["The value of reducing arthroscopic partial meniscectomy in the treatment of degenerative meniscus tears: a budget impact analysis"],"prefix":"10.1017","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6030-3615","authenticated-orcid":false,"given":"Evelien B.","family":"van Well","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3782-6677","authenticated-orcid":false,"given":"Stan R.W.","family":"Wijn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerjon","family":"Hannink","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2579-1561","authenticated-orcid":false,"given":"Janneke P.C.","family":"Grutters","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maroeska M.","family":"Rovers","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2023,1,18]]},"reference":[{"key":"S0266462322003361_r8","unstructured":"8. 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