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西罗莫司治疗血管畸形的成本效益

Cost-utility of sirolimus in the treatment of vascular malformations.

作者信息

Li Grace Xiaoying, Sebaratnam Deshan Frank

机构信息

Faculty of Medicine and Health, University of New South Wales, Kensington, New South Wales, Australia.

Department of Dermatology, Liverpool Hospital, Liverpool, New South Wales, Australia.

出版信息

Australas J Dermatol. 2024 Dec;65(8):e259-e262. doi: 10.1111/ajd.14369. Epub 2024 Oct 4.

DOI:10.1111/ajd.14369
PMID:39367582
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11629134/
Abstract

Sirolimus is being increasingly employed to manage specific vascular anomalies. We performed an exploratory cost-utility analysis to evaluate sirolimus as a treatment for vascular malformations from the Australian healthcare system perspective. Over a one-year time horizon, sirolimus treatment was associated with an increased expenditure of AU$2832.80 and a gain of 0.08 quality-adjusted life years (QALYs) when compared to supportive care, resulting in an incremental cost-effectiveness ratio of AU$35,410/QALY. By most metrics, sirolimus would be considered a cost-effective treatment for vascular malformations.

摘要

西罗莫司越来越多地被用于治疗特定的血管异常。我们进行了一项探索性成本效用分析,从澳大利亚医疗保健系统的角度评估西罗莫司作为血管畸形治疗方法的效果。在一年的时间范围内,与支持性治疗相比,西罗莫司治疗导致支出增加2832.80澳元,质量调整生命年(QALY)增加0.08,增量成本效益比为35410澳元/QALY。根据大多数指标,西罗莫司可被视为治疗血管畸形的具有成本效益的疗法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9bc/11629134/3060d73eeca3/AJD-65-e259-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9bc/11629134/363d40c1f205/AJD-65-e259-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9bc/11629134/3060d73eeca3/AJD-65-e259-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9bc/11629134/363d40c1f205/AJD-65-e259-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9bc/11629134/3060d73eeca3/AJD-65-e259-g001.jpg

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JAMA Dermatol. 2022 Sep 1;158(9):1013-1021. doi: 10.1001/jamadermatol.2022.2878.
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Analysis of PBAC submissions and outcomes for medicines (2010-2018).药品 (2010-2018 年) 医保药物评审局受理申请及结果分析。
Int J Technol Assess Health Care. 2020 Jun;36(3):224-231. doi: 10.1017/S026646232000029X. Epub 2020 Jun 11.
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Sirolimus in blue rubber bleb naevus syndrome: A systematic review.
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J Paediatr Child Health. 2019 Feb;55(2):152-155. doi: 10.1111/jpc.14345. Epub 2018 Dec 18.
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Pediatr Dermatol. 2018 Sep;35(5):635-638. doi: 10.1111/pde.13600. Epub 2018 Jul 12.
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