| Título: | Economic evaluation of the use of exogenous pulmonary surfactants in preterm newborns in a Mexican population |
| Autores: |
Salinas-Escudero,Guillermo Reyes-López,Alfonso Garduño-Espinosa,Juan Villasís-Keever,Miguel Angel Martínez-Valverde,Silvia Muñoz-Hernández,Onofre |
| Fecha: | 2012-01-01 |
| Publicador: | SCIELO |
| Fuente: |
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| Tipo: | journal article |
| Tema: |
cost effectiveness surfactant respiratory distress syndrome direct medical costs life years gained quality adjusted life years Mexico |
| Descripción: | OBJECTIVE: To estimate the cost-effectiveness ratio of surfactant rescue treatment of premature infants with respiratory distress syndrome (RDS) who are covered by the Medical Insurance for a New Generation. MATERIALS AND METHODS: A cost-effectiveness evaluation was conducted from the third-payer perspective. Comparisons were made between the use of bovine surfactant (BS) therapy and without BS therapy. A decision tree model with a lifetime horizon was used where the measurements of effectiveness were life years gained (LYG) and quality-adjusted life years (QALYs). A 5% discount rate was considered for costs and health outcomes. All costs are expressed in Mexican pesos 2009. RESULTS: Incremental cost-effectiveness ratios (ICER) were MXN$136670 per LYG and MXN$125250 per QALY. CONCLUSION: Surfactant therapy was confirmed as a cost-effective strategy in accordance with World Health Organization criteria of three per capita gross domestic product (GDP) per QALY in premature infants with RDS in Mexico. |
| Idioma: | Inglés |
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