To determine in a Canadian health care setting the cost effectiveness of urate lowering drugs (ULD) in the treatment of nontophaceous gouty arthritis with recurrent attacks and to evaluate the least costly regimen among available ULD.
A decision analysis model was designed using hypothetical cohorts of patients who present 1 to 4 recurrent attacks/year.
It incorporated costs and probabilities estimated from the published literature.
Effectiveness was defined as the number of recurrent attacks averted by each treatment strategy (ULD or No ULD).
The incremental cost effectiveness ratio was defined as the ratio of the additional cost incurred by a management strategy compared with the additional benefit derived from it.
A multiway sensitivity analysis was built to allow the modelling of extreme case scenarios favoring (best ULD scenario) and disfavoring (worst ULD scenario) the ULD therapy.
Using the baseline scenario estimates for the hypothetical cohort of patients presenting one attack/year, the total annualized costs per patient associated with ULD and No ULD treatment were Cdn $426.27 and 267.27, respectively.
The average cost effectiveness ratios were $592.25 and 5,345.37, respectively, per attack averted.
ULD treatment is cost effective.
It is also cost saving if patients present 2 or more recurrent attacks/year.
Mots-clés Pascal : Goutte(pathologie), Récidivant, Homme, Chimiothérapie, Traitement, Hypouricémiant, Economie santé, Analyse coût efficacité, Canada, Amérique du Nord, Amérique, Microcristal, Urique acide, Système ostéoarticulaire pathologie, Arthropathie, Métabolisme pathologie, Hyperuricémie
Mots-clés Pascal anglais : Gout, Recurrent, Human, Chemotherapy, Treatment, Hypouricemic agent, Health economy, Cost efficiency analysis, Canada, North America, America, Microcrystal, Uric acid, Diseases of the osteoarticular system, Arthropathy, Metabolic diseases, Hyperuricemia
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0361248
Code Inist : 002B15I. Création : 01/03/1996.