Table 6:
Results | ||||||
---|---|---|---|---|---|---|
Name, Year, Location | Study Design and Perspective | Population | Interventions/Comparators | Health Outcomes | Costs | Cost-Effectiveness |
Gerth et al, 2014,11 Canada |
Type of economic analysis: CMA Study design: CMA model Perspective:: Public payer Time horizon: 1 year |
Patients with primary and secondary immunodeficiency | SCIG IVIG |
NA |
First year SCIG: $691; IVIG: $3,292 Subsequent years SCIG: $345; IVIG: $3,292 Cost year: 2011 Note: Only nursing time was included. |
SCIG led to substantial cost-saving |
Martin et al, 2013,34 Canada |
Type of economic analysis: CMA Study design: CMA model Perspective: : Public payer Time horizon: 3 year |
Adults with primary immunodeficiency | SCIG by manual rapid push IVIG | NA | SCIG: $1,978; IVIG: $7,714 Cost year: 2011 Note: 1) drug cost was not included and 2) discounting was not applied |
SCIG led to substantial cost-saving |
Ho et al, 2008,35 Canada (first analysis)a |
Type of economic analysis: CMA Study design: CMA model Perspective: Public payer Time horizon: 1 year |
Adults and children with primary immunodeficiency | SCIG by pump Infusion administration IVIG | NA |
Adult (70 kg) SCIG: $20,417; IVIG: $21,777 Children (40 kg) SCIG: $12,101; IVIG: $13,460 Cost year: 2007 |
SCIG led to slight cost-saving |
Ho et al, 2008,35 Canada (second analysis)b |
Type of economic analysis: CUA Study design: Decision-analytic model Perspective: : Public payer Time horizon: 1 year |
Adults with primary immunodeficiency | SCIG by pump Infusion Administration IVIG | SCIG: 0.675 QALY IVIG: 0.648 QALY |
Adult (70 kg) SCIG: $20,065; IVIG: $21,273 Cost year: 2007 |
SCIG dominated IVIG with lower cost and higher QALY |
Beaute et al2010,36 France (first analysis)a |
Type of economic analysis: CMA Study design: CMA model Perspective: : French social insurance Time horizon: 1 year |
Patients with primary immunodeficiency | SCIG by pump Infusion Administration IVIG | NA |
Model (50 kg young adult) SCIG: €24,952; IVIG: €25,583 Cost year: not reported |
SCIG led to a slight cost-saving |
Beaute et al2010,36 France (second analysis)c |
Type of economic analysis: CMA Study design: cohort study Perspective: French social insurance Time horizon: 1 year |
Patients with primary immunodeficiency | SCIG by pump Infusion Administration IVIG | NA |
Individual level data in the cohort (SCIG: 15.2 years old and 40 kg; IVIG: 15.6 years old and 41.8 kg) SCIG: €20,289 (IG cost: €12,935); IVIG: €26,428 (IG cost: €18,703) Cost year: Not reported |
SCIG showed substantial savings due to lower dose prescribed of IG |
Abbreviations: CUA, cost-utility analyses; CMA, cost minimization analysis; IG, immunoglobulin; IVIG, hospital-based intravenous immunoglobulin; NA, not applicable; QALY, quality-adjusted life year; SCIG, home-based subcutaneous immunoglobulin.
For the first analysis (cost minimization), authors assumed that SCIG and IVIG would yield identical clinical outcomes.
For the second analysis (cost utility), authors assumed that SCIG and IVIG would yield different clinical outcomes.
Authors include eight patients with SCIG therapy and 26 patients with IVIG therapy. The crude results are reported.