Cost-Utility Analysis of Biologic and Biosynthetic Mesh in Ventral Hernia Repair: When Are They Worth It? Steven Schneeberger, BS, Sharon Phillips, MSPH,

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Cost-Utility Analysis of Biologic and Biosynthetic Mesh in Ventral Hernia Repair: When Are They Worth It? Steven Schneeberger, BS, Sharon Phillips, MSPH, Li-Ching Huang, PhD, Richard A. Pierce, MD, PhD, FACS, Shervin A. Etemad, BS, Benjamin K. Poulose, MD, MPH, FACS Journal of the American College of Surgeons Volume 228, Issue 1, Pages 66-71 (January 2019) DOI: 10.1016/j.jamcollsurg.2018.10.009 Copyright © 2018 American College of Surgeons Terms and Conditions

Figure 1 One-way sensitivity analysis of long-term synthetic mesh complication rates and net monetary benefit. As the rate of long-term synthetic mesh complications increases past 15.5% and 26.2%, biosynthetic and biologic mesh become favorable treatment options, respectively. Willingness to pay is set at $50,000. Journal of the American College of Surgeons 2019 228, 66-71DOI: (10.1016/j.jamcollsurg.2018.10.009) Copyright © 2018 American College of Surgeons Terms and Conditions

Figure 2 Two-way sensitivity analysis of long-term synthetic mesh complication rates and biologic mesh cost. Colors indicate areas of best mesh choice ([blue] biologic mesh, [red] biosynthetic mesh, [yellow] synthetic mesh). As the rate of long-term synthetic mesh complications increases and the biologic mesh cost decreases, biosynthetic, and biologic mesh become the more favorable treatment options. Willingness to pay is set at $50,000. Journal of the American College of Surgeons 2019 228, 66-71DOI: (10.1016/j.jamcollsurg.2018.10.009) Copyright © 2018 American College of Surgeons Terms and Conditions