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SecurAcath for Securing Peripherally Inserted Central Catheters: A NICE Medical Technology Guidance
Tom Macmillan1, Mark Pennington2, Jennifer A Summers3
1King's Technology Evaluation Centre, School of Biomedical Engineering and Imaging Sciences, King's College London, 5th Floor, Becket House, 1 Lambeth Palace Road, London, SE1 7EU, UK. thomas.macmillan@kcl.ac.uk.
Applied Health Economics and Health Policy
|August 21, 2018
Summary
SecurAcath offers a securement solution for central venous catheters. While StatLock may be more cost-effective for short-term use, SecurAcath proves more economical for medium- and long-term catheter indwell times.
Area of Science:
- Medical Devices
- Health Technology Assessment
- Clinical Engineering
Background:
- Central venous catheters (CVCs) are crucial for patient therapy and monitoring.
- Effective securement of CVCs is essential to prevent dislodgement.
- SecurAcath is a novel device for CVC securement.
Purpose of the Study:
- To evaluate the clinical and economic evidence for the SecurAcath device.
- To compare SecurAcath against alternative catheter securement methods.
- To inform National Institute for Health and Care Excellence (NICE) guidance on CVC securement.
Main Methods:
- Systematic review and meta-analysis of existing evidence.
- Independent critique of manufacturer-submitted clinical and economic data.
- Development and revision of a cost-effectiveness economic model.
Main Results:
- Limited comparative evidence initially identified; one unpublished RCT showed potential non-inferiority to StatLock.
- Revised economic model indicated StatLock is more cost-effective for ≤5-day indwell times.
- SecurAcath demonstrated greater cost-effectiveness for medium- and long-term catheter use.
Conclusions:
- SecurAcath shows potential non-inferiority to StatLock for CVC securement.
- Cost-effectiveness varies by catheter indwell duration.
- NICE recommended SecurAcath adoption for specific CVC applications in the NHS.
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