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. 2017 Nov 1;17(16):1–86.

Table 6:

Results of Economic Literature Review—Summary

        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.

a

For the first analysis (cost minimization), authors assumed that SCIG and IVIG would yield identical clinical outcomes.

b

For the second analysis (cost utility), authors assumed that SCIG and IVIG would yield different clinical outcomes.

c

Authors include eight patients with SCIG therapy and 26 patients with IVIG therapy. The crude results are reported.