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Transferability of results of cost utility analyses for biologicals in inflammatory conditions for Central and Eastern European countries.(Report)

Gulacsi, Laszlo ; Rencz, Fanni ; Pentek, Marta ; Brodszky, Valentin ; Lopert, Ruth ; Hever, Noemi V. ; Baji, Petra

The European Journal of Health Economics, May, 2014, Vol.15(1), p.27(8) [Periódico revisado por pares]

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  • Título:
    Transferability of results of cost utility analyses for biologicals in inflammatory conditions for Central and Eastern European countries.(Report)
  • Autor: Gulacsi, Laszlo ; Rencz, Fanni ; Pentek, Marta ; Brodszky, Valentin ; Lopert, Ruth ; Hever, Noemi V. ; Baji, Petra
  • Assuntos: Gross Domestic Product ; Gastrointestinal Diseases
  • É parte de: The European Journal of Health Economics, May, 2014, Vol.15(1), p.27(8)
  • Descrição: Byline: Laszlo Gulacsi (1), Fanni Rencz (1,2), Marta Pentek (1,3), Valentin Brodszky (1), Ruth Lopert (4,5), Noemi V. Hever (1), Petra Baji (1) Keywords: Cost-utility; Inflammatory conditions; Biologicals; Central and Eastern Europe; HTA; Reimbursement; I 110; I 130 Abstract: Background Several Central and Eastern European (CEE) countries require cost-utility analyses (CUAs) to support reimbursement formulary listing. However, CUAs informed by local evidence are often unavailable, and the cost-effectiveness of the several currently reimbursed biologicals is unclear. Aim To estimate the cost-effectiveness as multiples of per capita GDP/quality adjusted life years (QALY) of four biologicals (infliximab, etanercept, adalimumab, golimumab) currently reimbursed in six CEE countries in six inflammatory rheumatoid and bowel disease conditions. Methods Systematic literature review of published cost-utility analyses in the selected conditions, using the United Kingdom (UK) as reference country and with study selection criteria set to optimize the transfer of results to the CEEs. Prices in each CEE country were pro-rated against UK prices using purchasing power parity (PPP)-adjusted per capita GDP, and local GDP per capita/QALY ratios estimated. Results Central and Eastern European countries list prices were 144--333 % higher than pro rata prices. Out of 85 CUAs identified by previous systematic literature reviews, 15 were selected as a convenience sample for estimating the cost-effectiveness of biologicals in the CEE countries in terms of per capita GDP/QALY. Per capita GDP/QALY values varied from 0.42 to 6.4 across countries and conditions (Bulgaria: 0.97--6.38 Czech Republic: 0.42--2.76 Hungary: 0.54--3.54 Poland: 0.59--3.90 Romania: 0.77--5.07 Slovakia: 0.55--3.61). Conclusion While results must be interpreted with caution, calculating pro rata (cost-effective) prices and per capita GDP/QALY ratios based on CUAs can aid reimbursement decision-making in the absence of analyses using local data. Author Affiliation: (1) Department of Health Economics, Corvinus University of Budapest, FAvam ter 8, Budapest, 1093, Hungary (2) Doctoral School of Clinical Medicine, Semmelweis University, UllAi ut 26, Budapest, 1085, Hungary (3) Department of Rheumatology, Flor Ferenc County Hospital, Semmelweis ter 1, Kistarcsa, 2143, Hungary (4) Department of Health Policy, George Washington University, 2021 K Street NW, Washington, DC, 20006, USA (5) LW Health Policy Consulting, Canberra, Australia Article History: Registration Date: 10/04/2014 Received Date: 10/02/2014 Accepted Date: 31/03/2014 Online Date: 16/05/2014
  • Idioma: English

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