Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 263.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 263.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 263.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 263.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 263.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 263.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 296.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 296.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 296.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 296.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 296.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 296.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 296.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 296.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 296.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 296.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 330.4 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 330.4 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\26334991
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Pharmacoeconomics
2015 ; 33
(12
): 1311-24
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Cost Effectiveness of Sucroferric Oxyhydroxide Compared with Sevelamer Carbonate
in the Treatment of Hyperphosphataemia in Patients Receiving Dialysis, from the
Perspective of the National Health Service in Scotland
#MMPMID26334991
Gutzwiller FS
; Pfeil AM
; Ademi Z
; Blank PR
; Braunhofer PG
; Szucs TD
; Schwenkglenks M
Pharmacoeconomics
2015[Dec]; 33
(12
): 1311-24
PMID26334991
show ga
BACKGROUND: Hyperphosphataemia is common and harmful in patients receiving
dialysis. Treatment options include noncalcium-based phosphate binders such as
sevelamer carbonate (SC) and sucroferric oxyhydroxide (PA21). OBJECTIVE: The aim
of this study was to determine the health economic impact of PA21-based
strategies compared with SC-based strategies, from the perspective of the
Scottish National Health Service (NHS). METHODS: A Markov model was constructed
based on data from a randomised clinical trial comparing PA21 and SC. Model input
parameters were derived from published literature, national statistics and
unpublished sources. Costs (price year 2012) and effects were discounted at 3.5
%. Analysis with a lifelong time horizon yielded the incremental
cost-effectiveness ratio (ICER), expressed as cost or savings per
quality-adjusted life-year (QALY) gained or forgone. Deterministic and
probabilistic sensitivity analysis was performed to explore uncertainties around
assumptions and model input parameters. RESULTS: In the base-case analysis,
phosphorus reductions for PA21 and SC were 1.93 and 1.95 mg/dL. Average
undiscounted survival was estimated to be 7.61 years per patient in both
strategies. PA21 patients accrued less QALYs (2.826) than SC patients (2.835),
partially due to differential occurrence of side effects. Total costs were ?
13,119 and ? 14,728 for PA21 and SC, respectively (difference per patient of ?
1609). By using PA21 versus SC, one would save ? 174,999 (or ? 123,463 when
including dialysis and transplantation costs) for one QALY forgone. A scenario
modelling the nonsignificant reduction in mortality (relative risk 0.714)
observed in the trial yielded an ICER for PA21 of ? 22,621 per QALY gained. In
probabilistic sensitivity analysis of the base-case, PA21 was dominant in 11 %,
and at least cost-effective in 53 %, of iterations, using a threshold of ? 20,000
per QALY gained. CONCLUSIONS: The use of PA21 versus SC in hyperphosphataemic
patients being intolerant of calcium-based phosphate binders may be cost saving
and yields only very limited disadvantages in terms of quality-adjusted survival.
PA21 appears to be cost-effective from the perspective of the Scottish NHS.
|*Models, Economic
[MESH]
|*Renal Dialysis
[MESH]
|Cost-Benefit Analysis
[MESH]
|Drug Combinations
[MESH]
|Ferric Compounds/administration & dosage/*economics/therapeutic use
[MESH]
|Humans
[MESH]
|Hyperphosphatemia/drug therapy/*economics
[MESH]
|Markov Chains
[MESH]
|National Health Programs/*economics
[MESH]
|Quality-Adjusted Life Years
[MESH]
|Scotland
[MESH]
|Sevelamer/administration & dosage/*economics/therapeutic use
[MESH]