Economic Value Analysis

Cost, Quality, and Outcomes

Healthcare institutions understand that in order to deliver the best patient care possible, they will need to operate beyond the intersection of cost, quality, and outcomes. When choosing products for a hospital system, the focus is changing from “cost of product” to “cost of care.” That cost of care extends well beyond the surgery, to include the follow-up care, procedures, patients' return to their previous activities, and quality of life.

GORE® BIO-A® Tissue Reinforcement is a leading product for economic value, providing cost savings benefits and exceptional patient outcomes, based on a multi-center study. Your institution could realize a significant cost savings and excellent patient quality of life results by using GORE® BIO-A® Tissue Reinforcement.1

Economic Value and Mesh Selection for Hernia Repair

In hernia repair, the cost of the mesh or biomaterial selected is only the first consideration, but it is potentially very significant in determining value.  For example, a biosynthetic product like GORE® BIO-A® Tissue Reinforcement can be less than half of the cost of biologic meshes, with equivalent or better patient outcomes.2  Even with biologics providing discounted contract pricing, this is a substantial cost savings that must be evaluated and considered as part of value analysis. GORE® BIO-A® Tissue Reinforcement is included in several contracts. Please check with your administrator for even more potential savings.

Surgeons and industry leaders have identified the value of GORE® BIO-A® Tissue Reinforcement:

“Cost effectiveness in surgery, especially in hernia repairs, is not a new concept but will be increasingly important going forward” 4

Dr. Alfredo Carbonell


“Biologic mesh dramatically changes economic assessments and cost-effectiveness as it is more expensive than synthetic alternatives” 4

Dr. Hobart Harris

Losses were greatest in cases involving use of biologic mesh, which resulted in a median net financial loss of $8,370. Biologic mesh more than doubled the direct costs of incisional hernia repair compared with synthetic repair ($16,970 vs $7,590). 3

The 2013 H.E.R.N.I.A. consensus meeting addressed indications for mesh use in hernia repair, noting that biologic mesh is less than ideal in contaminated fields, whereas biosynthetic mesh is a cost-effective alternative. 4


  1. Rosen M, Bauer J, Carbonell A, et al; Complex Open Bioabsorbable Reconstruction of the Abdominal Wall (COBRA) Study Group. Quality of Life Improves after Complex Ventral Hernia Repair using a Bioabsorbable Material: Preliminary Results of a Prospective, Multicenter Study. Flagstaff, AZ: W. L. Gore & Associates, Inc; 2013. [Poster]. AS1852-EN2.
  2. Carbonell AM, Matthews BD. Bioabsorbable mesh for complex hernia repair: a technique enhancing surgical tool. General Surgery News 2011;38(9):36-38.
  3. Frangou C. Ventral hernia repairs a financial bust for hospitals? General Surgery News 2012;39(8):1,6.
  4. Carbonell AM II, Chao JJ, Cobb WS IV, et al. H.E.R.N.I.A.: hernia experts roundtable and new innovations assembly—expert consensus on the use of biosynthetic and biologic mesh in hernia repair. Special report. General Surgery News 2014;41(3):1-8.