HTA Centre, Kraków, Poland.
Diabetes Metab Syndr Obes. 2011 Feb 10;4:79-88. doi: 10.2147/DMSO.S9395.
This study assessed the cost efficacy and cost utility of the automatic blood glucose meter CONTOUR(®) TS from the public payer (National Health Fund [NHF]) and payer (patient and NHF) perspectives over a 26-year analysis horizon.
Clinical effectiveness data were obtained from prior clinical studies of automatic versus manually coded blood glucose meters. Cost data were obtained from the NHF. The probability of procedure use related to diabetic complications was obtained from four medical centers in Poland. The incremental cost-effectiveness ratio related to 1 life year gained and the incremental cost-utility ratio related to 1 quality-adjusted life year gained were calculated.
Assuming co-funding from public funds, introduction of the CONTOUR(®) TS is associated with savings of Polish zloty (PLN) 31,846.19 (€ 8916.93) and PLN 113,018.19 (€ 31,645.09) per life year gained from the payer and public payer perspectives, respectively. Cost utility analyses showed that the CONTOUR(®) TS is associated with savings of PLN 40,465.59 (€ 11,330.37) and PLN 11,434.82 (€ 3201.75) per quality-adjusted life year gained from the payer and the public payer perspectives, respectively.
The CONTOUR(®) TS appears superior to manually coded meters available in Poland both from the payer and the public payer perspectives and may represent an improved strategy for glycemic control.
本研究从公共支付者(国家健康基金[NHF])和支付者(患者和 NHF)的角度评估了自动血糖监测仪 CONTOUR(®) TS 的成本效益和成本效用,分析时间跨度为 26 年。
临床效果数据来自自动血糖监测仪与手动编码血糖监测仪的临床研究。成本数据来自 NHF。与糖尿病并发症相关的治疗方案使用概率来自波兰的四家医疗中心。计算了与获得 1 个生命年相关的增量成本效益比和与获得 1 个质量调整生命年相关的增量成本效用比。
假设公共资金共同出资,从支付者和公共支付者的角度来看,引入 CONTOUR(®) TS 分别可节省波兰兹罗提(PLN)31846.19 欧元(€8916.93)和 PLN 113018.19 欧元(€31645.09),以获得每一个生命年。成本效用分析表明,CONTOUR(®) TS 分别可节省波兰兹罗提(PLN)40465.59 欧元(€11330.37)和 PLN 11434.82 欧元(€3201.75),以获得每一个质量调整生命年,从支付者和公共支付者的角度来看。
从支付者和公共支付者的角度来看,CONTOUR(®) TS 优于波兰现有的手动编码血糖监测仪,可能是一种改善血糖控制的策略。