Division of Dermatology, University of Ottawa, Ottawa, ON, Canada.
J Cutan Med Surg. 2009 Nov-Dec;13(6):303-7. doi: 10.2310/7750.2009.08088.
Knowledge of the cost of various psoriasis therapeutic options is essential to the prescribing clinician.
To compare the cost of various psoriasis treatments over a 10-year period in the province of Ontario, Canada.
We used a hypothetical patient with plaque-type psoriasis of moderate severity with a Psoriasis Area and Severity Index of 10, body surface area of 20%, and no joint involvement. The costs to treat this hypothetical patient with different therapeutic regimens were compared in this study.
In a 60 kg patient, alefacept was the most costly form of therapy, based on two 12-week treatments per year, followed by infliximab 5 mg/kg. In a 90 kg patient, infliximab 5 mg/kg was the most costly, followed by alefacept. The least costly treatment was ultraviolet B phototherapy.
With the knowledge of these data, informed prescribing by the dermatologist may reduce the financial burden to the patient, the provincial health care system, and insurance companies.
了解各种银屑病治疗方案的成本对于处方医生来说至关重要。
比较加拿大安大略省 10 年内各种银屑病治疗方法的成本。
我们使用一位患有斑块状银屑病、病情中度严重、银屑病面积和严重程度指数为 10、体表面积为 20%、无关节受累的假设患者。本研究比较了不同治疗方案治疗该假设患者的成本。
在一位 60 公斤重的患者中，根据每年两次 12 周的治疗，阿法赛普特是最昂贵的治疗方式，其次是英夫利昔单抗 5mg/kg。在一位 90 公斤重的患者中，英夫利昔单抗 5mg/kg 是最昂贵的，其次是阿法赛普特。最便宜的治疗方法是紫外线 B 光疗。
有了这些数据的知识，皮肤科医生的处方可以减轻患者、省级医疗保健系统和保险公司的经济负担。
