Cost-effectiveness of Interferon-free therapy for Hepatitis C in Germany--an application of the efficiency frontier approach.

Abstract:

BACKGROUND:The approval of direct-acting antivirals for Interferon-free treatment revolutionized the therapy of chronic Hepatitis C infection. As of August 2014, two treatment regimens for genotype 1 infection received conditional approval in the European Union: Sofosbuvir and Ribavirin for 24 weeks and Sofosbuvir and Simeprevir with or without Ribavirin for 12 weeks. We aim to analyze the cost-effectiveness of both regimens in Germany. METHODS:We set up a Markov model with a lifetime horizon to simulate immediate treatment success and long-term disease progression for treatment-naive patients. The model analyzes both short-term and long-term costs and benefits from the perspective of the German Statutory Health Insurance. We apply the efficiency frontier method, which was suggested by German Institute for Quality and Efficiency in Health Care for cost-effectiveness analysis in Germany. RESULTS:The efficiency frontier is defined by dual therapy and first generation direct-acting antiviral Boceprevir, yielding a maximum of € 1,447.69 per additional percentage point of sustained virologic response gained. Even without rebates, Sofosbuvir/Simeprevir is very close with € 1,560.13 per additional percentage point. It is both more effective and less expensive than Sofosbuvir/Ribavirin. CONCLUSIONS:In addition to higher sustained virologic response rates, new direct-acting antivirals save long-term costs by preventing complications such as liver cirrhosis, hepatocellular carcinoma and ultimately liver transplants, thereby offsetting part of higher drug costs. Our findings are in line with the guidance published by German Society for Gastroenterology, Digestive and Metabolic Diseases, which recommends Sofosbuvir/Simeprevir for Interferon ineligible or intolerant patients.

journal_name

BMC Infect Dis

journal_title

BMC infectious diseases

authors

Gissel C,Götz G,Mahlich J,Repp H

doi

10.1186/s12879-015-1048-z

subject

Has Abstract

pub_date

2015-07-30 00:00:00

pages

297

issn

1471-2334

pii

10.1186/s12879-015-1048-z

journal_volume

15

pub_type

杂志文章
  • Optimising diagnosis of viraemic hepatitis C infection: the development of a target product profile.

    abstract:BACKGROUND:The current low access to virological testing to confirm chronic viraemic HCV infection in low- and middle-income countries (LMIC) is limiting the rollout of hepatitis C (HCV) care. Existing tests are complex, costly and require sophisticated laboratory infrastructure. Diagnostic manufacturers need guidance ...

    journal_title:BMC infectious diseases

    pub_type: 杂志文章

    doi:10.1186/s12879-017-2770-5

    authors: Ivanova Reipold E,Easterbrook P,Trianni A,Panneer N,Krakower D,Ongarello S,Roberts T,Miller V,Denkinger C

    更新日期:2017-11-01 00:00:00

  • The predicted impact of tuberculosis preventive therapy: the importance of disease progression assumptions.

    abstract:BACKGROUND:Following infection with Mycobacterium tuberculosis (M.tb), individuals may rapidly develop tuberculosis (TB) disease or enter a "latent" infection state with a low risk of progression to disease. Mathematical models use a variety of structures and parameterisations to represent this process. The effect of t...

    journal_title:BMC infectious diseases

    pub_type: 杂志文章

    doi:10.1186/s12879-020-05592-5

    authors: Sumner T,White RG

    更新日期:2020-11-23 00:00:00

  • Mobility, risk behavior and HIV/STI rates among female sex workers in Kaiyuan City, Yunnan Province, China.

    abstract:BACKGROUND:The mobility of female sex workers (FSWs) is a factor in the geographic spread of human immunodeficiency virus (HIV) and other sexually transmitted infections (STIs). This study describes FSW mobility patterns in a high risk area of China to identify factors associated with increased mobility, and to study t...

    journal_title:BMC infectious diseases

    pub_type: 杂志文章

    doi:10.1186/1471-2334-10-198

    authors: Wang H,Chen RY,Sharp GB,Brown K,Smith K,Ding G,Jin X,Xu J,Dong R,Wang N

    更新日期:2010-07-09 00:00:00

  • Plasmodium falciparum parasitaemia and malaria among pregnant women at first clinic visit in the mount Cameroon Area.

    abstract:BACKGROUND:Pregnant women in malaria endemic areas are at high risk of P. falciparum infection and its complications. This study investigated the prevalence and risk factors for P. falciparum infection and malaria among pregnant women reporting for first antenatal care (ANC) clinic visit in the mount Cameroon area. ME...

    journal_title:BMC infectious diseases

    pub_type: 杂志文章

    doi:10.1186/s12879-015-1211-6

    authors: Anchang-Kimbi JK,Nkweti VN,Ntonifor HN,Apinjoh TO,Tata RB,Chi HF,Achidi EA

    更新日期:2015-10-22 00:00:00

  • Factors predictive of relapse in adult bacterial osteomyelitis of long bones.

    abstract:BACKGROUND:Osteomyelitis is a difficult-to-cure infection with a high relapse rate despite combined medical and surgical therapies. Some severity factors, duration of antimicrobial therapy and type of surgical procedure might influence osteomyelitis relapse. METHODS:116 patients with osteomyelitis were followed for ≥1...

    journal_title:BMC infectious diseases

    pub_type: 杂志文章

    doi:10.1186/s12879-018-3550-6

    authors: Garcia Del Pozo E,Collazos J,Carton JA,Camporro D,Asensi V

    更新日期:2018-12-07 00:00:00

  • Relationship between day 1 and day 2 Vancomycin area under the curve values and emergence of heterogeneous Vancomycin-intermediate Staphylococcus aureus (hVISA) by Etest® macromethod among patients with MRSA bloodstream infections: a pilot study.

    abstract:BACKGROUND:In vitro data suggests that suboptimal initial vancomycin exposure may select for heterogeneous vancomycin-intermediate Staphylococcus aureus (hVISA) infections. However, no clinical studies have evaluated the relationship between initial vancomycin exposure and emergence of hVISA. This pilot study seeks to ...

    journal_title:BMC infectious diseases

    pub_type: 杂志文章

    doi:10.1186/s12879-017-2609-0

    authors: Martirosov DM,Bidell MR,Pai MP,Scheetz MH,Rosenkranz SL,Faragon C,Malik M,Mendes RE,Jones RN,McNutt LA,Lodise TP

    更新日期:2017-08-02 00:00:00

  • Repeated measures study of weekly and daily cytomegalovirus shedding patterns in saliva and urine of healthy cytomegalovirus-seropositive children.

    abstract:BACKGROUND:To better understand potential transmission risks from contact with the body fluids of children, we monitored the presence and amount of CMV shedding over time in healthy CMV-seropositive children. METHODS:Through screening we identified 36 children from the Atlanta, Georgia area who were CMV-seropositive, ...

    journal_title:BMC infectious diseases

    pub_type: 杂志文章

    doi:10.1186/s12879-014-0569-1

    authors: Cannon MJ,Stowell JD,Clark R,Dollard PR,Johnson D,Mask K,Stover C,Wu K,Amin M,Hendley W,Guo J,Schmid DS,Dollard SC

    更新日期:2014-11-13 00:00:00

  • Clinical and microbiological characteristics of purulent and non-purulent cellulitis in hospitalized Taiwanese adults in the era of community-associated methicillin-resistant Staphylococcus aureus.

    abstract:BACKGROUND:The risk factors, microbial etiology, differentiation, and clinical features of purulent and non-purulent cellulitis are not well defined in Taiwan. METHODS:We conducted a retrospective cohort study of hospitalized adults with cellulitis in Taiwan in 2013. The demographic characteristics, underlying disease...

    journal_title:BMC infectious diseases

    pub_type: 杂志文章

    doi:10.1186/s12879-015-1064-z

    authors: Lee CY,Tsai HC,Kunin CM,Lee SS,Chen YS

    更新日期:2015-08-05 00:00:00

  • Resistance of Leishmania (Leishmania) amazonensis and Leishmania (Viannia) braziliensis to nitric oxide correlates with disease severity in Tegumentary Leishmaniasis.

    abstract:BACKGROUND:Nitric oxide (NO*) plays a pivotal role as a leishmanicidal agent in mouse macrophages. NO* resistant Escherichia coli and Mycobacterium tuberculosis have been associated with a severe outcome of these diseases. METHODS:In this study we evaluated the in vitro toxicity of nitric oxide for the promastigote st...

    journal_title:BMC infectious diseases

    pub_type: 杂志文章

    doi:10.1186/1471-2334-7-7

    authors: Giudice A,Camada I,Leopoldo PT,Pereira JM,Riley LW,Wilson ME,Ho JL,de Jesus AR,Carvalho EM,Almeida RP

    更新日期:2007-02-22 00:00:00

  • Group B streptococcus serotype prevalence in reproductive-age women at a tertiary care military medical center relative to global serotype distribution.

    abstract:BACKGROUND:Group B Streptococcus (GBS) serotype (Ia, Ib, II-IX) correlates with pathogen virulence and clinical prognosis. Epidemiological studies of seroprevalence are an important metric for determining the proportion of serotypes in a given population. The purpose of this study was to evaluate the prevalence of indi...

    journal_title:BMC infectious diseases

    pub_type: 杂志文章

    doi:10.1186/1471-2334-10-336

    authors: Ippolito DL,James WA,Tinnemore D,Huang RR,Dehart MJ,Williams J,Wingerd MA,Demons ST

    更新日期:2010-11-24 00:00:00

  • Randomized controlled trial of piperacillin-tazobactam, cefepime and ertapenem for the treatment of urinary tract infection caused by extended-spectrum beta-lactamase-producing Escherichia coli.

    abstract:BACKGROUND:Due to limited therapeutic options, the spread of extended-spectrum beta-lactamases (ESBLs) have become a major public health concern. We conducted a prospective, randomized, open-label comparison of the therapeutic efficacy of piperacillin-tazobactam (PTZ), cefepime, and ertapenem in febrile nosocomial urin...

    journal_title:BMC infectious diseases

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s12879-017-2502-x

    authors: Seo YB,Lee J,Kim YK,Lee SS,Lee JA,Kim HY,Uh Y,Kim HS,Song W

    更新日期:2017-06-07 00:00:00

  • Molecular detection of fluoroquinolone-resistance in multi-drug resistant tuberculosis in Cambodia suggests low association with XDR phenotypes.

    abstract:BACKGROUND:Drug susceptibility testing (DST) remains an important concern for implementing treatment of MDR tuberculosis patients. Implementation of molecular tests for drug resistance identification would facilitate DST particularly in developing countries where culturing is difficult to perform. We have characterized...

    journal_title:BMC infectious diseases

    pub_type: 杂志文章

    doi:10.1186/1471-2334-11-255

    authors: Surcouf C,Heng S,Pierre-Audigier C,Cadet-Daniel V,Namouchi A,Murray A,Gicquel B,Guillard B

    更新日期:2011-09-28 00:00:00

  • DotMapper: an open source tool for creating interactive disease point maps.

    abstract:BACKGROUND:Molecular strain typing of tuberculosis isolates has led to increased understanding of the epidemiological characteristics of the disease and improvements in its control, diagnosis and treatment. However, molecular cluster investigations, which aim to detect previously unidentified cases, remain challenging....

    journal_title:BMC infectious diseases

    pub_type: 杂志文章

    doi:10.1186/s12879-016-1475-5

    authors: Smith CM,Hayward AC

    更新日期:2016-04-12 00:00:00

  • Incidence and predictors of surgical site infection following cesarean section in North-west Ethiopia: a prospective cohort study.

    abstract:BACKGROUND:Following delivery by caesarean section, surgical site infection is the most common infectious complication. Despite a large number of caesarean sections performed at Debre Markos Referral Hospital, there was no study documenting the incidence of surgical site infection after caesarean section. Therefore, th...

    journal_title:BMC infectious diseases

    pub_type: 杂志文章

    doi:10.1186/s12879-020-05640-0

    authors: Ketema DB,Wagnew F,Assemie MA,Ferede A,Alamneh AA,Leshargie CT,Kibret GD,Petrucka P,Telayneh AT,Alebel A

    更新日期:2020-11-30 00:00:00

  • Identification and differential expression of serotransferrin and apolipoprotein A-I in the plasma of HIV-1 patients treated with first-line antiretroviral therapy.

    abstract:BACKGROUND:Plasma proteins are known to interfere the drug metabolism during therapy. As limited information is available regarding the role of plasma proteins in HIV drug resistance during ART in HIV/AIDS patients, the present study aimed to identify and characterize the differentially expressed plasma proteins in the...

    journal_title:BMC infectious diseases

    pub_type: 杂志文章

    doi:10.1186/s12879-020-05610-6

    authors: Barik SK,Mohanty KK,Mohanty AK,Rawat P,Gopal G,Bisht D,Patil SA,Singh R,Sharma D,Tripathy SP,Tandon R,Singh TP,Jena S

    更新日期:2020-11-27 00:00:00

  • Immune response to Leishmania antigens in an AIDS patient with mucocutaneous leishmaniasis as a manifestation of immune reconstitution inflammatory syndrome (IRIS): a case report.

    abstract:BACKGROUND:After the onset of HAART, some HIV-infected individuals under treatment present a exacerbated inflammation in response to a latent or a previously treated opportunistic pathogen termed immune reconstitution inflammatory syndrome (IRIS). Few reports of tegumentary leishmaniasis have been described in associat...

    journal_title:BMC infectious diseases

    pub_type: 杂志文章

    doi:10.1186/s12879-015-0774-6

    authors: Gois L,Badaró R,Schooley R,Grassi MF

    更新日期:2015-02-03 00:00:00

  • Bloodstream infections caused by Klebsiella pneumoniae: prevalence of blaKPC, virulence factors and their impacts on clinical outcome.

    abstract:BACKGROUND:Klebsiella pneumoniae bloodstream infections (BSIs) occur with significant prevalence and high mortality worldwide. Antimicrobial resistance and virulence are two main factors participating in the pathogenicity of K. pneumoniae. Here we investigated the prevalence of blaKPC and virulence factors in K. pneumo...

    journal_title:BMC infectious diseases

    pub_type: 杂志文章

    doi:10.1186/s12879-018-3263-x

    authors: Xu M,Fu Y,Kong H,Chen X,Chen Y,Li L,Yang Q

    更新日期:2018-07-31 00:00:00

  • Human papillomavirus infection and risk factors in a cohort of Tuscan women aged 18-24: results at recruitment.

    abstract:BACKGROUND:There is conclusive evidence that human papillomavirus (HPV) infections of the cervix are a necessary cause of cervical cancer. In Italy there are consistent data of HPV prevalence in women aged 25 - 64 years, but there is limited data for younger women. The objective of this on-going 3-year prospective coho...

    journal_title:BMC infectious diseases

    pub_type: 杂志文章

    doi:10.1186/1471-2334-10-157

    authors: Confortini M,Carozzi F,Zappa M,Ventura L,Iossa A,Cariaggi P,Brandigi L,Franchini M,Mirri F,Viacava P,Scarfantoni A,Bazzanti D,Sani C

    更新日期:2010-06-07 00:00:00

  • Factors associated with unreported tuberculosis cases in Spanish hospitals.

    abstract:BACKGROUND:Under-reporting of tuberculosis (TB) cases complicates disease control, hinders contact tracing and alters the accuracy of epidemiological data, including disease burden. The objective of the present study is to evaluate the proportion of unreported TB cases in Spanish healthcare facilities and to identify t...

    journal_title:BMC infectious diseases

    pub_type: 杂志文章

    doi:10.1186/s12879-015-1047-0

    authors: Morales-García C,Rodrigo T,García-Clemente MM,Muñoz A,Bermúdez P,Casas F,Somoza M,Milá C,Penas A,Hidalgo C,Casals M,Caylá JA,Working Group on Under-reporting of Tuberculosis in Spain.

    更新日期:2015-07-29 00:00:00

  • Quantitative assessment of lesion load and efficacy of 3 cycles of albendazole in disseminated cysticercosis: a prospective evaluation.

    abstract:BACKGROUND:The management of disseminated cysticercosis is unclear and largely considered hazardous. The role of albendazole remains controversial in such patients. METHODS:A tertiary care, University hospital-based prospective intervention study was conducted from December 2015 to December 2017. Patients with dissemi...

    journal_title:BMC infectious diseases

    pub_type: 杂志文章

    doi:10.1186/s12879-020-4891-5

    authors: Pandey S,Malhotra HS,Garg RK,Malhotra KP,Kumar N,Rizvi I,Jain A,Kohli N,Verma R,Sharma P,Uniyal R,Pandey S

    更新日期:2020-03-14 00:00:00

  • Comparative epidemiology of influenza A and B viral infection in a subtropical region: a 7-year surveillance in Okinawa, Japan.

    abstract:BACKGROUND:The epidemic patterns of influenza B infection and their association with climate conditions are not well understood. Influenza surveillance in Okinawa is important for clarifying transmission patterns in both temperate and tropical regions. Using surveillance data, collected over 7 years in the subtropical ...

    journal_title:BMC infectious diseases

    pub_type: 杂志文章

    doi:10.1186/s12879-016-1978-0

    authors: Iha Y,Kinjo T,Parrott G,Higa F,Mori H,Fujita J

    更新日期:2016-11-08 00:00:00

  • Decline in the proportion of methicillin resistance among Staphylococcus aureus isolates from non-invasive samples and in outpatient settings, and changes in the co-resistance profiles: an analysis of data collected within the Antimicrobial Resistance Sur

    abstract:BACKGROUND:Recent analysis of trends of non-invasive infections with methicillin resistant Staphylococcus aureus (MRSA), of trends of MRSA infections in outpatient settings and of co-resistance profiles of MRSA isolates are scarce or lacking in Germany. METHODS:We analysed data from the Antimicrobial Resistance Survei...

    journal_title:BMC infectious diseases

    pub_type: 杂志文章

    doi:10.1186/s12879-017-2271-6

    authors: Walter J,Noll I,Feig M,Weiss B,Claus H,Werner G,Eckmanns T,Hermes J,Abu Sin M

    更新日期:2017-02-23 00:00:00

  • Using a community based survey of healthcare seeking behavior to estimate the actual magnitude of influenza among adults in Beijing during 2013-2014 season.

    abstract:BACKGROUND:Due to a lack of survey of health care seeking behavior for influenza, the actual magnitude of influenza in Beijing of China has not been well described. METHODS:During 2013-2014 influenza season, two cross-sectional household surveys were carried out respectively during the epidemic and non-epidemic season...

    journal_title:BMC infectious diseases

    pub_type: 杂志文章

    doi:10.1186/s12879-017-2217-z

    authors: Wang X,Wu S,Yang P,Li H,Chu Y,Tang Y,Hua W,Zhang H,Li C,Wang Q

    更新日期:2017-02-03 00:00:00

  • Lemierre's syndrome and genetic polymorphisms: a case report.

    abstract:BACKGROUND:Lemierre's syndrome presents a classic clinical picture, the pathophysiology of which remains obscure. Attempts have been made to trace genetic predispositions that modify the host detection of pathogen or the resultant systemic reaction. CASE PRESENTATION:A 17-year old female, with no previous medical hist...

    journal_title:BMC infectious diseases

    pub_type: 杂志文章

    doi:10.1186/1471-2334-6-115

    authors: Constantin JM,Mira JP,Guerin R,Cayot-Constantin S,Lesens O,Gourdon F,Romaszko JP,Linval P,Laurichesse H,Bazin JE

    更新日期:2006-07-17 00:00:00

  • Genomic characterization of MDR/XDR-TB in Kazakhstan by a combination of high-throughput methods predominantly shows the ongoing transmission of L2/Beijing 94-32 central Asian/Russian clusters.

    abstract:BACKGROUND:Kazakhstan remains a high-burden TB prevalence country with a concomitent high-burden of multi-drug resistant tuberculosis. For this reason, we performed an in depth genetic diversity and population structure characterization of Mycobacterium tuberculosis complex (MTC) genetic diversity in Kazakhstan with bo...

    journal_title:BMC infectious diseases

    pub_type: 杂志文章

    doi:10.1186/s12879-019-4201-2

    authors: Klotoe BJ,Kacimi S,Costa-Conceicão E,Gomes HM,Barcellos RB,Panaiotov S,Haj Slimene D,Sikhayeva N,Sengstake S,Schuitema AR,Akhalaia M,Alenova A,Zholdybayeva E,Tarlykov P,Anthony R,Refrégier G,Sola C

    更新日期:2019-06-24 00:00:00

  • Diabetes mellitus in HIV-infected patients: fasting glucose, A1c, or oral glucose tolerance test - which method to choose for the diagnosis?

    abstract:BACKGROUND:Antiretroviral therapy dramatically reduced HIV-related morbidity and mortality, prolonging the lifespan of HIV-infected patients. Greater duration of infection and exposure to antiretroviral therapy makes these patients susceptible to traditional cardio-metabolic risk factors and pathologies. The optimal di...

    journal_title:BMC infectious diseases

    pub_type: 杂志文章

    doi:10.1186/s12879-018-3221-7

    authors: Coelho AR,Moreira FA,Santos AC,Silva-Pinto A,Sarmento A,Carvalho D,Freitas P

    更新日期:2018-07-06 00:00:00

  • Continuous renal replacement therapy rescues severe haemorrhagic fever with renal syndrome in pregnancy: a case report.

    abstract:BACKGROUND:Haemorrhagic fever with renal syndrome (HFRS) is a natural epidemic disease caused by various types of viruses of the genus Hantavirus, which are mainly transmitted by contact with the infected rodents and their droppings. Pregnancy complicated with HFRS is rare; however, adverse maternal and foetal outcomes...

    journal_title:BMC infectious diseases

    pub_type: 杂志文章

    doi:10.1186/s12879-020-05638-8

    authors: Ying X,Lai X,Jin X,Cai L,Li X

    更新日期:2020-12-03 00:00:00

  • Differences in Staphylococcus aureus nasal carriage and molecular characteristics among community residents and healthcare workers at Sun Yat-Sen University, Guangzhou, Southern China.

    abstract:BACKGROUND:The pathogenic potential and commensal nature of Staphylococcus aureus allows for easy transmission both within and outside of the hospital environment, and nasal carriage may be responsible for some serious infections. This study aimed to determine the molecular and epidemiological characteristics of nasal ...

    journal_title:BMC infectious diseases

    pub_type: 杂志文章

    doi:10.1186/s12879-015-1032-7

    authors: Chen B,Dai X,He B,Pan K,Li H,Liu X,Bao Y,Lao W,Wu X,Yao Y,Huang S

    更新日期:2015-07-30 00:00:00

  • Evaluation of high-dose rifampin in patients with new, smear-positive tuberculosis (HIRIF): study protocol for a randomized controlled trial.

    abstract:BACKGROUND:Evidence has existed for decades that higher doses of rifampin may be more effective, but potentially more toxic, than standard doses used in tuberculosis treatment. Whether increased doses of rifampin could safely shorten treatment remains an open question. METHODS/DESIGN:The HIRIF study is a phase II rand...

    journal_title:BMC infectious diseases

    pub_type: 杂志文章

    doi:10.1186/s12879-016-1790-x

    authors: Milstein M,Lecca L,Peloquin C,Mitchison D,Seung K,Pagano M,Coleman D,Osso E,Coit J,Vargas Vasquez DE,Sanchez Garavito E,Calderon R,Contreras C,Davies G,Mitnick CD

    更新日期:2016-08-27 00:00:00

  • Epidemic characteristics of hemorrhagic fever with renal syndrome in China, 2006-2012.

    abstract:BACKGROUND:Hemorrhagic fever with renal syndrome (HFRS) caused by hantaviruses is a serious public health problem in China. The National Notifiable Disease Surveillance System (NNDSS) was established online by China CDC in 2004 and rodent surveillance sites were adjusted to 40 sites in 22 provinces in 2005. Here we ana...

    journal_title:BMC infectious diseases

    pub_type: 杂志文章

    doi:10.1186/1471-2334-14-384

    authors: Zhang S,Wang S,Yin W,Liang M,Li J,Zhang Q,Feng Z,Li D

    更新日期:2014-07-11 00:00:00