Comparing the Enzyme Replacement Therapy Cost in Post Pancreatectomy Patients Due to Pancreatic Tumor and Chronic Pancreatitis

Fragoso, Anna Victoria; Pedroso, Martha Regina Arcon; Herman, Paulo; Montagnini, André L.

doi:10.1590/s0004-28032016000200008

Cited by 3 publications

(1 citation statement)

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“…Lack of detail, bias or underestimated analysis of costs may result in failures in the cost evaluation of diseases or programs under analysis with considerable implications (5) . There is a growing interest of governments and health systems in economic evaluation studies that can improve the way in which limited budget resources allocated to patient care are shared out (8,15,37,42,47) . Health technology assessment helps to achieve this purpose, making it possible to identify areas that require more in vestment and interventions associated with higher costs.…”

Section: Introductionmentioning

confidence: 99%

Higher MELD score increases the overall cost on the waiting list for liver transplantation: a micro-costing analysis based study

Turri

Decimoni

Ferreira

et al. 2017

Arq. Gastroenterol.

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-Background -The pretransplant period is complex and includes lots of procedures. The severity of liver disease predisposes to a high number of hospitalizations and high costs procedures. Economic evaluation studies are important tools to handle costs on the waiting list for liver transplantation. Objective -The objective of the present study was to evaluate the total cost of the patient on the waiting list for liver transplantation and the main resources related to higher costs. Methods -A cost study in a cohort of 482 patients registered on waiting list for liver transplantation was carried out. In 24 months followup, we evaluated all costs of materials, medicines, consultations, procedures, hospital admissions, laboratorial tests and image exams, hemocomponents replacements, and nutrition. The total amount of each resource or component used was aggregated and multiplied by the unitary cost, and thus individual cost for each patient was obtained. $ 5,703.22 ± 9,318.68). Conclusion -Total costs on the waiting list for liver transplantation increased according to the patient's severity. Individually, hospitalizations, hemocomponents reposition and hepatocellular carcinoma treatment were the main cost drivers to the patient on the waiting list. The longer the waiting time, the higher the total cost on list, causing greater impact on health systems.

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