7
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      An Assessment of the Cost-Utility of Therapy for Psoriasis

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Objective

          Recently a number of new therapies have been introduced to treat psoriasis, but concerns have been expressed about their high cost. The purpose of this study was to determine whether most psoriasis treatments lie within the accepted range of cost-utility.

          Methodology

          32 patients with moderate to severe psoriasis were administered the Euro-Qol 5 Dimension (EQ-5D) survey to calculate their health state utility. Economic modeling was performed with a range of therapeutic costs applying the calculated utility score. Paired t-tests were used to calculate significance.

          Results

          At the conclusion of 2 weeks of therapy, the mean psoriasis area and severity index (PASI) improved 35% to 7.2 (p<0.001). The mean health state utility score on the EQ-5D improved 11.5% from 77.7 units before therapy to 86.7 units after therapy (p=0.007).

          Conclusion

          A therapy that achieves at least a PASI 35 would be considered cost-effective by conventional standards if it does not exceed $33 600 in cost.

          Related collections

          Most cited references 15

          • Record: found
          • Abstract: found
          • Article: not found

          Quantifying the harmful effect of psoriasis on health-related quality of life.

          Psoriasis affects 7 million people in the United States, causing substantial cost, social stigma, and disability. The purpose of this study was to evaluate the health effects of skin disease by comparing psoriasis to other primary medical disorders using 3 different scales of health-related quality of life. A self-administered questionnaire consisting of 3 health-related quality of life measures was given sequentially to 35 eligible patients with psoriasis presenting to the Dermatology Branch of the National Cancer Institute (NCI) for an investigational therapeutic protocol. All patients (100%) agreed to participate. The median Psoriasis Area and Severity Index (PASI) score was 13.0. Overall, 82.9% at least often felt the need to hide their psoriasis, and 74.3% claimed their self-confidence was at least often affected by their psoriasis. The median EQ-5D health state utility score was 13.0% less than healthy individuals (P <.001). On the SF-36, the mean general health score was 13.2% less (P =.005) and the median social functioning score 18.7% less (P =.005) than that of patients with no chronic conditions. Individuals with psoriasis are significantly affected in their health state utility, perception of general health, and social functioning when compared with individuals without chronic disease and those with certain primary medical conditions.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            The direct cost of care for psoriasis and psoriatic arthritis in the United States.

            Relatively little information is available in the literature concerning the cost of psoriasis in the United States, and much of that information is out of date. The present analyses estimate the direct cost of medical care for psoriasis (including psoriatic arthritis) from a societal perspective among adults in the United States. The costs of hospitalizations, outpatient and physician office visits, prescription and over-the-counter (OTC) medications, and medical procedures were estimated from the literature, analysis of publicly available health databases (Health and Nutrition Examination Survey, National Hospital Discharge Survey, Medicare Public Use Files, National Ambulatory Medical Care Survey, and the National Hospital Ambulatory Medical Care Survey), and analysis of privately available health databases (United Health Care/Diversified Pharmaceutical Services, the Medstat Group diagnosis-related group guide, and the National Disease and Therapeutic Index). Costs were expressed as of 1997 by using Medicare and health maintenance organization reimbursement rates and wholesale drug costs. Costs of OTC medications were derived by adjusting a previous estimate in the literature for inflation in over-the-counter drugs and population increases. The cost of illness for the approximately 1.4 million individuals with clinically significant disease is substantial-approximately $30.5 million for hospitalizations, $86.6 million for outpatient physician visits, $27.4 million for photochemotherapy, $147.9 million for dermatologic prescription drugs, and $357.2 million for OTC drugs, for a total direct cost of $649.6 million. Cost estimates from this study are substantially less than those found in previous studies ($1.09 billion and $4.32 billion after adjustment of estimates in the literature for medical inflation and population increases). This appears to be principally a result of decreases in hospitalization rates since 1979 and the valuation methodology per unit of medical services (with prior studies using "list" prices and the current study using reimbursement rates).
              Bookmark
              • Record: found
              • Abstract: not found
              • Article: not found

              The EuroQol instrument: an index of health-related quality of life

               P Kind,  P. KIND (1996)
                Bookmark

                Author and article information

                Journal
                Ther Clin Risk Manag
                Therapeutics and Clinical Risk Management
                Therapeutics and Clinical Risk Management
                Dove Medical Press
                1176-6336
                1178-203X
                September 2006
                September 2006
                : 2
                : 3
                : 325-328
                Affiliations
                [1 ]Department of Dermatology, Kaiser Permanente Medical Center Stockton, CA, USA
                [2 ]Department of Dermatology, Stanford University Palo Alto, CA, USA
                [3 ]Department of Dermatology, Harvard University Boston, MA, USA
                Author notes
                Correspondence: Alexa Boer Kimball, Director, Clinical Unit for Research Trials in Skin (CURTIS), Mass General and Brigham and Women's Hospitals, 275 Cambridge Avenue, POB4, Boston, MA 02114, USA Tel +1 617 726 0149 Fax +1 617 507 3096 Email harvardskinstudies@ 123456partners.org
                Article
                1936269
                18360608
                © 2006 Dove Medical Press Limited. All rights reserved
                Categories
                Original Research

                Medicine

                health economics, psoriasis, cost-utility analysis

                Comments

                Comment on this article