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Title

Cost-effectiveness of psoriasis therapy with etanercept in Germany

Authors
Heinen-Kammerer, Tatjana
Daniel, Dietmar
Stratmann, Lioba
Rychlik, Reinhard
Published in Journal der Deutschen Dermatologischen Gesellschaft. 2007, vol. 5, no. 9, p. 762-768
Abstract BACKGROUND: We estimated the cost-effectiveness of intermittent therapy with etanercept in patients with moderate-to-severe plaque-type psoriasis in comparison to non-systemic therapy in Germany. PATIENTS AND METHODS: We performed a cost-utility analysis using the endpoint costs per quality-adjusted life year gained (costs/QALY). For this purpose, we adapted a UK-based Markov model by means of resource use data that we derived from a German cost study. Efficacy data, information on frequency of adverse events and changes in quality of life were derived from three pooled clinical trials. We extrapolated the further course of the disease and its treatment over a 10 year course. RESULTS: For patients with an initial Psoriasis Area and Severity Index (PASI) > 10 and a Dermatology Life Quality Index (DLQI) > 10 the incremental cost-effectiveness ratio (ICER) for etanercept compared to non-systemic therapy was 45,491 euro/QALY. For patients with PASI and DLQI > 15 costs/QALY were 32,058 euro and among patients with severe plaque psoriasis (DLQI and PASI > 20) 18,154 euro. CONCLUSIONS: According to internationally accepted levels of cost-effectiveness thresholds, the intermittent treatment of (moderate to) severe plaque-type psoriasis with etanercept is a cost-effective measure within the German healthcare system.
Keywords AdultCost-Benefit AnalysisFemaleGermany/epidemiologyHealth Care Costs/*statistics & numerical dataHumansImmunoglobulin G/*economics/*therapeutic useMale*Models, EconomicPsoriasis/*drug therapy/*economics/epidemiologyReceptors, Tumor Necrosis Factor/*therapeutic use
Identifiers
PMID: 17760896
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HEINEN-KAMMERER, Tatjana et al. Cost-effectiveness of psoriasis therapy with etanercept in Germany. In: Journal der Deutschen Dermatologischen Gesellschaft, 2007, vol. 5, n° 9, p. 762-768. https://archive-ouverte.unige.ch/unige:29878

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Deposited on : 2013-09-20

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