Placement of Acticon artificial bowel sphincters in the management of faecal incontinence
Buckley E, Merlin T, Hiller JE
Record ID 32008100122
English
Original Title:
Application 1107
Authors' objectives:
A team from Adelaide Health Technology Assessment, Discipline of Public Health, School of Population Health and Clinical Practice, University of Adelaide, was engaged to conduct a systematic review of literature on implantation of the Acticon ABS in the management of faecal incontinence. The comparators which were considered in this assessment were dynamic graciloplasty, conservative management of severe faecal incontinence and colostomy. An advisory panel with expertise in this area then evaluated the evidence and provided advice to the MSAC.
Authors' recommendations:
MSAC has considered the safety, effectiveness and cost-effectiveness for implantation of the Acticon artificial bowel sphincter (ABS) compared with conservative management,colostomy and dynamic graciloplasty.MSAC finds that there is no evidence comparing the Acticon ABS with colostomy and limited evidence comparing it with conservative management and dynamic graciloplasty.MSAC finds that the evidence suggests that Acticon ABS implantation is not as safe as conservative management and that it is likely to be at least as safe as dynamicgraciloplasty.MSAC finds that the evidence indicates that the Acticon ABS is more clinically effective than both conservative management and dynamic graciloplasty.MSAC finds that relative cost effectiveness of the Acticon ABS and the comparators could not be assessed due to lack of data. The comparison of the estimated total costsindicates that the cost to the health system for the Acticon ABS is less than for dynamic graciloplasty.MSAC recommends that public funding is supported for this procedure.The Minister for Health and Ageing endorsed this recommendation on 11th April 2008.
Details
Project Status:
Completed
Year Published:
2007
URL for published report:
http://www.msac.gov.au/internet/msac/publishing.nsf/Content/D8219FCB9D9EAE43CA25801000123B5F/$File/1107-Assessment-Report.pdf
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Australia
MeSH Terms
- Anal Canal
- Artificial Organs
- Electric Stimulation Therapy
- Implants, Experimental
Contact
Organisation Name:
Adelaide Health Technology Assessment
Contact Address:
School of Public Health, Mail Drop 545, University of Adelaide, Adelaide SA 5005, AUSTRALIA, Tel: +61 8 8313 4617
Contact Name:
ahta@adelaide.edu.au
Contact Email:
ahta@adelaide.edu.au
Copyright:
Adelaide Health Technology Assessment (AHTA)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.