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Economics of chronic hepatitis B and hepatitis C
1Division of Clinical Decision Making, Department of Medicine, Tufts-New England Medical Center, Tufts University School of Medicine, 750 Washington Street, NEMC 302, Boston, MA 02111, USA.
Insights
New antiviral treatments for chronic hepatitis B and C offer clinical benefits but raise economic questions. This review explores drug costs, economic analyses, and cost-effectiveness to guide clinical decisions on treatment value.
Area of Science:
- Hepatology
- Health Economics
- Pharmacoeconomics
Background:
- Chronic hepatitis B and C infections lead to significant global morbidity and mortality.
- Recent advancements have introduced numerous novel antiviral therapies.
- The economic implications of these treatments are a growing concern for healthcare stakeholders.
Purpose of the Study:
- To elucidate economic principles in antiviral treatment for hepatitis B and C.
- To examine considerations in estimating drug costs and performing economic analyses.
- To summarize published cost-effectiveness analyses of antiviral therapies for chronic hepatitis B and C.
Main Methods:
- Review of economic principles relevant to antiviral drug treatment.
- Examination of methodologies for cost estimation and economic analysis.
- Synthesis of published cost-effectiveness studies for hepatitis B and C antivirals.
Main Results:
- Discussion of factors influencing drug costs for hepatitis B and C treatments.
- Overview of methods used in economic evaluations of antiviral therapies.
- Summary of findings from cost-effectiveness analyses, highlighting value considerations.
Conclusions:
- Clinicians need to understand the economic aspects of new antiviral drugs.
- Evaluating the cost-effectiveness of hepatitis B and C treatments is crucial.
- This review aids in determining if clinical benefits justify the expense of antiviral medications.
Abstract:
Although not all patients develop progressive liver disease, chronic hepatitis B and chronic hepatitis C infections cause substantial morbidity and mortality worldwide. To address this need, many new antiviral treatments have become available over the past 10 years. While safety, efficacy, and therapeutic indications have been well established for these agents, the economics of antiviral treatment have become increasingly a focus of discussion for physicians, policymakers, and health payers. In this paper, we will elucidate some economic principles using examples from the treatment of hepatitis B and C. In particular, we will examine the considerations in estimating drug costs, methods for performing economic analyses and lastly summarize published cost-effectiveness analyses for antiviral treatments of chronic hepatitis B and chronic hepatitis C. This review should help clinicians understand economic issues regarding new drugs and answer questions about whether the clinical benefit provided by a medication justifies its expense.
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