[Budget impact analysis of the first-line treatment of relapsing remitting multiple sclerosis in Spain].

Abstract:

AIM:To assess the budget impact of the treatment for relapsing remitting multiple sclerosis (RRMS), interferons, and glatiramer acetate, from the National Health System perspective in Spain. PATIENTS AND METHODS:A budget impact model was designed to compare the cost of RRMS treatment in different settings, using a five year time-horizon, considering different percentages of administration of each medication. A reference setting o base case using all the available first line treatments (interferons and glatiramer acetate) was compared with five alternatives scenarios excluding each one of these treatments. The cost analysis (euros, year 2010) includes direct medical resources (drugs, administration, visits, disease management, diagnostic tests). Unitary cost data was obtained from the health costs database e-Salud and drugs catalogue. RESULTS:Considering a cohort of 22 255 patients with RRMS, the mean global budget impact per year would be 260 775 470 euros in the base case. The setting that excluded glatiramer acetate increases the budget impact in a 3.23% (372 euros per patient per year). Pharmacological costs were the key drivers of total cost (90%). CONCLUSION:The use of glatiramer acetate in the first-line-treatment of RRMS patients is a cost-saving strategy, which may decrease the budget impact from the National Health System perspective in Spain.

journal_name

Rev Neurol

journal_title

Revista de neurologia

authors

Sánchez-De la Rosa R,Sabater E,Casado MA

subject

Has Abstract

pub_date

2011-08-01 00:00:00

pages

129-38

issue

3

eissn

0210-0010

issn

1576-6578

pii

rn2010683

journal_volume

53

pub_type

杂志文章
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    doi:

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  • [Cerebral palsy: prenatal risk factors].

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    authors: Pascual JM,Koenigsberger MR

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  • [Pyridoxine-dependent epilepsy due to deficiency in the PNPO gene].

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  • [The influence of social stress on the reinforcing effect of ecstasy under the conditioned place preference paradigm: the role played by age, dose and type of stress].

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  • [Reliability of electrophysiological measurements of motor control].

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    authors: Aranda D,Bartsch AJ,Herrmann MJ,Eisenack S,Morínigo JC,Fallgatter AJ

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  • [Familial multiple cavernomatosis].

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    authors: Terriza F,Amrani Y,Asencio JJ,Goberna E,Casado A,Peralta JI

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  • [Attentional impairment after traumatic brain injury: assessment and rehabilitation].

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  • [The effectiveness and tolerance of piribedil as adjunct therapy to levodopa in patients with Parkinson's disease: a nine month follow up].

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  • [Advantages and disadvantages of new antiepileptic drugs].

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    doi:

    authors: Herranz JL

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  • [Psychomotor development in late preterms at two years of age: a comparison with full-term newborn infants using two different instruments].

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  • [Growth and aging factors in physiological senility and Alzheimer's disease].

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    pub_type: 杂志文章,评审

    doi:

    authors: Toledano A

    更新日期:1997-10-01 00:00:00

  • [Diabetes mellitus as a risk factor for dementia in the Mexican elder population].

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  • [Multisegmental spondylotic cervical myelopathy treated by longitudinal medial corporectomy without fusion].

    abstract:INTRODUCTION:The treatment of cervical spondylosis may be medical, surgical or both. Surgical treatment is indicated mainly in patients with untreatable pain, progressive neurological deficit and proven compression of the nerve roots and spinal cord. Corporectomy with a graft and fusion is one of the most widely used t...

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    doi:

    authors: Coloma-Valverde G,Vargas-Rivadeneira E

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  • [Adopted children: risk factors and neuropsychological problems].

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    doi:

    authors: Hernández-Muela S,Mulas F,Téllez de Meneses M,Roselló B

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  • [Glutamate and Alzheimer's disease].

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    pub_type: 杂志文章,评审

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  • [Rational combination therapy in epilepsy. I. Concepts and foundations].

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    pub_type: 杂志文章

    doi:

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