Poster presentation at the Pediatric Academic Society, ‘Cost-effectiveness of Sutures, Tissue Adhesives and Adhesive Wound Closure Strips for Low Tension Lacerations’. San Francisco, California, 3 May 2004.
Economic comparison of methods of wound closure: wound closure strips vs. sutures and wound adhesives
Article first published online: 7 SEP 2005
International Wound Journal
Volume 2, Issue 3, pages 272–281, September 2005
How to Cite
Zempsky, W. T., Zehrer, C. L., Lyle, C. T. and Hedbloom, E. C. (2005), Economic comparison of methods of wound closure: wound closure strips vs. sutures and wound adhesives. International Wound Journal, 2: 272–281. doi: 10.1111/j.1742-4801.2005.00130.x
- Issue published online: 7 SEP 2005
- Article first published online: 7 SEP 2005
- Adhesive wound closure strips;
- Tissue adhesives
Our objective was to review and assess the treatment of low-tension wounds and evaluate the cost-effectiveness of wound closure methods. We used a health economic model to estimate cost/closure of adhesive wound closure strips, tissue adhesives and sutures. The model incorporated cost-driving variables: application time, costs and the likelihood and costs of dehiscence and infection. The model was populated with variable estimates derived from the literature. Cost estimates and cosmetic results were compared. Parameter values were estimated using national healthcare and labour statistics. Sensitivity analyses were used to verify the results. Our analysis suggests that adhesive wound closure strips had the lowest average cost per laceration ($7·54), the lowest cost per infected laceration ($53·40) and the lowest cost per laceration with dehiscence ($25·40). The costs for sutures were $24·11, $69·91 and $41·91, respectively; the costs for tissue adhesives were $28·77, $74·68 and $46·68, respectively. The cosmetic outcome for all three treatments was equivalent. We conclude adhesive wound closure strips were both a cost-saving and a cost-effective alternative to sutures and tissue adhesives in the closure of low-tension lacerations.