Table 2.
Cost and utility inputs
Item | Value | Range | References |
---|---|---|---|
Costs | |||
Heart failure (per event) | |||
Heart failure hospitalization | 88,313 | 70,650–105,976 | Deerochanawong [20] |
Diabetes (per year) | |||
Diabetes treatment | 21,240 | 16,992–25,488 | Riewpaiboon [21] |
Chronic kidney disease (per year) | |||
Predialysis | 85,478 | 68,382–102,573 | Deerochanawong [20] |
Dialysis set up | 32,681a | 26,145–39,217 | Teerawattananon [22] |
Dialysis | 557,623 | 446,098–669,147 | |
Transplantation | 379,021 | 303,217–454,826 | NHSO [23] |
Follow-up after transplantation (first 2 years) | 47,500 | 38,000–57,000 | |
Follow-up after transplantation (third year and onward) | 15,000 | 12,000–18,000 | |
Drug (per year) | |||
Dapagliflozin | 14,638 | 11,710–17,565 | DMSIC [24] |
Adverse eventsb (per event) | |||
Major hypoglycemic event | 51,607 | 2346–100,867 | Siriraj hospital database [25] |
Diabetic ketoacidosis | 64,763 | 14,388–115,138 | |
Acute kidney injury | 110,906 | 95,051–316,864 | |
Genital infection | 11 | DMSIC [24] | |
Direct non-medical cost | |||
Heart failure and diabetesc (per event) | |||
Transportation | 155 | 143–168 | Standard cost list [26] |
Food | 57 | 51–63 | |
Chronic kidney disease (per year) | |||
Normoalbuminuria | 1045 | 836–1254 | Srisubat [17] |
Microalbuminuria | 1400 | 1120–1680 | |
Macroalbuminuria | 2116 | 1693–2540 | |
Dialysis | 8170 | 6536–9804 | |
Utilities | |||
Heart failure | |||
Hospitalization | 0.65 | 0.55–0.75 | Adena [37] |
Stable | 0.75 | 0.65–0.85 | |
Diabetes | |||
Diabetes | 0.814 | 0.733–0.895 | Clarke [38] |
Chronic kidney disease | |||
Normoalbuminuria | 0.72 | 0.696–0.744 | Srisubat [17] |
Microalbuminuria | 0.72 | 0.696–0.744 | |
Macroalbuminuria | 0.59 | 0.549–0.631 | |
Dialysis | 0.55 | 0.499–0.601 | |
Transplantation | 0.83 | 0.747–0.913 | Li [39] |
DMSIC Drug and Medical Supply Information Center, NHSO the National Health Security Office
aAverage on the proportion of peritoneal dialysis (30%) and hemodialysis (70%)
bCost of adverse event treatment = cost per event × prevalence of such adverse event
cPatients visit a hospital 4 times per year. Direct non-medical cost per year = cost per event × 4