口服与注射性疾病修饰疗法在复发性多发性硬化症的成本效益:系统性审查分析分析
Mehdi Rezaee1,2, Ramin Ravangard2,3, Seyyed Morteza Mojtabaeian1
1Student Research Committee, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
BMC health services research
|October 29, 2024
概括
与用于多发性硬化症 (MS) 的注射性疾病修饰疗法相比,克拉迪宾片显示出具有成本效益. 本综述强调了政策制定者评估多发性硬化症治疗选择的关键经济数据.
科学领域:
- 药物经济学 药物经济学
- 神经学 神经学
- 卫生政策 卫生政策
背景情况:
- 多发性硬化症 (MS) 是一种慢性,渐进的自身免疫性疾病,影响中枢神经系统.
- 多发性硬化症的治疗选择包括注射和口服疾病修饰疗法 (DMT).
- 系统性审查的重点是口服与注射性MS治疗的成本效益.
研究的目的:
- 系统地审查和综合口服DMT与注射DMT在MS的成本效益.
- 提供经济数据,为MS治疗的决策提供信息.
主要方法:
- 在PubMed,Scopus和Web of Science搜索了口服与注射性MS药物的经济评估.
- 包括使用QHES工具进行全面经济评估和质量评估的研究.
- 两个作者独立地选和评估记录.
主要成果:
- 包括30项高质量的研究 (QHES ≥77).
- 在药物比较中观察到增量净货币收益 (INMB) 的显著变化.
- 在多次比较中,克拉迪宾在注射疗法方面表现为INMB阳性.
结论:
- 对于MS DMTs,存在大量的经济证据,尽管比较可能很复杂.
- 在所有研究中,克拉迪布林片在注射性多发性硬化症治疗相比始终显示出成本效益.
- 调查结果为决策者提供了有关多发性硬化疗法的经济价值的宝贵见解.
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