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Economic outcomes for celecoxib: a systematic review of pharmacoeconomic studies
Rachel Huelin1, Tiffany Pokora, Talia S Foster
1United BioSource Corporation, Lexington, MA 02420, USA. rachel.huelin@unitedbiosource.com
Insights
Celecoxib offers a favorable cost-effectiveness profile for managing osteoarthritis and rheumatoid arthritis, leading to lower direct medical costs compared to nonselective NSAIDs.
Area of Science:
- Rheumatology
- Health Economics
Background:
- Osteoarthritis (OA) and rheumatoid arthritis (RA) impose significant clinical and economic burdens.
- Treating these disabling conditions strains healthcare systems due to high medical costs.
Purpose of the Study:
- To systematically review the economic impact of celecoxib in patients with OA and RA.
- To evaluate the cost-effectiveness and direct medical costs associated with celecoxib use.
Main Methods:
- Systematic review of 24 studies examining economic outcomes.
- Analysis included cost-effectiveness studies comparing celecoxib with nonselective NSAIDs (non-steroidal anti-inflammatory drugs).
- Consideration of studies from diverse geographical regions, including developing areas.
Main Results:
- Economic models generally indicated favorable cost-effectiveness for celecoxib versus nonselective NSAIDs.
- Celecoxib demonstrated lower direct medical costs compared to alternative treatments.
- Six studies specifically evaluated economic outcomes in developing regions.
Conclusions:
- Celecoxib presents a cost-effective treatment option for patients with OA and RA.
- The use of celecoxib is associated with reduced direct healthcare expenditures.
- Findings support the economic viability of celecoxib in managing these rheumatic conditions.
Abstract:
Osteoarthritis and rheumatoid arthritis are conditions that are associated with significant clinical burden, and impact on patients' functional status and quality of life. Medical costs related to treating these common and disabling conditions place an economic strain on healthcare systems. This systematic review was conducted to investigate the impact of celecoxib on healthcare costs for patients with rheumatoid arthritis and osteoarthritis. In total, 24 studies examined economic outcomes associated with celecoxib in patients with these conditions. Six of these studies evaluated economic outcomes in developing regions, including Mexico, Asia and Turkey. Across all geographies, most studies were cost-effectiveness analyses comparing celecoxib with nonselective NSAIDs alone or in combination with gastroprotective agents. Overall, based on local standards, economic models indicated favorable cost-effectiveness profiles for celecoxib compared with nonselective NSAIDs and other active-treatment options. Cost analyses indicated that the use of celecoxib resulted in lower direct medical costs.
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