在2型糖尿病中使用处方数字治疗药物的成本效益分析
Niall J Davison1, Nicole L Guthrie2, Sarah Medland3
1Maple Health Group, Manchester, UK. niall.davison@maplehealthgroup.com.
Advances in therapy
|January 3, 2024
概括
BT-001 (AspyreRxTM) 是一种数字疗法,可显著降低2型糖尿病患者的血红蛋白A1c. 这种疗法具有成本效益,节省资金并改善患者的生活质量.
科学领域:
- 内分泌学 在内分泌学.
- 数字健康数字健康
- 卫生经济学 卫生经济学
背景情况:
- 2型糖尿病 (T2D) 的管理仍然是一个重要的医疗保健挑战.
- 血红蛋白A1c (HbA1c) 是控制糖尿病的关键生物标志物.
- 个性化认知行为疗法为T2D管理提供了一种新的方法.
研究的目的:
- 评估BT-001 (AspyreRxTM) 加标准护理 (SoC) 与单独用于T2D的SoC的成本效益.
- 从医疗保健支付者的角度评估长期经济影响.
- 在T2D管理中量化与BT-001相关的健康益处.
主要方法:
- 用一个个体患者级模拟模型来分析T2D路径.
- 来自BT-001随机临床试验的临床数据为模型提供了信息.
- 英国前性糖尿病研究结果模型2的风险方程被用于事件模拟.
主要成果:
- BT-001加SoC仅占SoC的优势,每名患者节省了7343美元的成本,在终身时间内获得了0.101个质量调整寿命年 (QALYs).
- 增量净货币收益为17.443美元,每QALY的支付意愿为10万美元.
- 节省成本主要是由于药物采购成本降低,由于HbA1c降低,观察到T2D并发症较少.
结论:
- BT-001加SoC是从医疗保健支付者的角度来管理T2D的一个占主导地位和成本效益的策略.
- BT-001赋予患者糖尿病自我管理的权力,提供潜在的终身优势.
- 像BT-001这样的数字治疗方法的整合代表了慢性疾病管理的有希望的进步.
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