Abstract:
OBJECTIVE:To evaluate the cost-effectiveness of biphasic insulin lispro mix 75/25 (LM75/25) and mix 50/50 (LM50/50) compared with a long-acting analog insulin (LAAI) regimen from the perspective of a US healthcare payer. METHODS:A published computer simulation model of diabetes was used to evaluate the cost-effectiveness of LM75/25 and LM50/50 vs a LAAI (insulin glargine) from the perspective of a US healthcare payer. Treatment effects in terms of HbA1c benefits were taken from a recent meta-analysis. Direct medical costs including pharmacy, complication, and patient management costs were obtained from published sources. All costs were expressed in 2010 US dollars and future costs and clinical benefits were discounted at 3% per annum. Sensitivity analyses were performed. RESULTS:LM75/25 and LM50/50 were associated with improvements in life expectancy of 0.08 and 0.09 years, improvements in quality-adjusted life expectancy of 0.07 quality-adjusted life years (QALYs) and 0.08 QALYs and increases in cost of US$ 1724 and US$ 1720, respectively, when compared with LAAI. LIMITATIONS:The base case analysis did not capture mild or serious hypoglycemia on the grounds that the hypoglycemia rate odds ratios failed to reach statistical significance in the meta-analysis. In addition, the baseline cohort characteristics were based on an insulin-naïve population, as opposed to the cohorts in the meta-analysis, which were heterogeneous with regard to insulin treatment history. CONCLUSIONS:Based on a recently published meta-analysis, biphasic analog insulins are likely to improve clinical outcomes and reduce costs vs LAAIs in the long-term treatment of type 2 diabetes patients in the US.
journal_name
J Med Econjournal_title
Journal of medical economicsauthors
Pollock RF,Curtis BH,Valentine WJdoi
10.3111/13696998.2012.675890subject
Has Abstractpub_date
2012-01-01 00:00:00pages
766-75issue
4eissn
1369-6998issn
1941-837Xjournal_volume
15pub_type
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journal_title:Journal of medical economics
pub_type: 杂志文章
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abstract:OBJECTIVE:Compare long-term costs and outcomes of lurasidone to aripiprazole among adults with schizophrenia in the US who previously failed ≥1 atypical antipsychotic (olanzapine, risperidone, quetiapine, or ziprasidone) based on an indirect comparison of outcomes data from clinical trials. METHODS:A 5-year Markov coh...
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pub_type: 杂志文章,多中心研究,随机对照试验
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journal_title:Journal of medical economics
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journal_title:Journal of medical economics
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journal_title:Journal of medical economics
pub_type: 杂志文章,多中心研究,随机对照试验
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journal_title:Journal of medical economics
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journal_title:Journal of medical economics
pub_type: 杂志文章
doi:10.3111/13696998.2012.739226
更新日期:2013-01-01 00:00:00
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journal_title:Journal of medical economics
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journal_title:Journal of medical economics
pub_type: 杂志文章
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更新日期:2008-01-01 00:00:00
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journal_title:Journal of medical economics
pub_type: 杂志文章,评审
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更新日期:2013-01-01 00:00:00
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journal_title:Journal of medical economics
pub_type: 杂志文章,评审
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更新日期:2010-01-01 00:00:00