Economic impact of reducing treatment gaps in depression.
Eur Psychiatry
; 66(1): e57, 2023 06 13.
Article
em En
| MEDLINE
| ID: mdl-37309907
ABSTRACT
BACKGROUND:
Major depressive disorder (MDD) is highly prevalent across Europe. While evidence-based treatments exist, many people with MDD have their condition undetected and/or untreated. This study aimed to assess the cost-effectiveness of reducing treatment gaps using a modeling approach.METHODS:
A decision-tree model covering a 27-month time horizon was used. This followed a care pathway where MDD could be detected or not, and where different forms of treatment could be provided. Expected costs pertaining to Germany, Hungary, Italy, Portugal, Sweden, and the UK were calculated and quality-adjusted life years (QALYs) were estimated. The incremental costs per QALY of reducing detection and treatment gaps were estimated.RESULTS:
The expected costs with a detection gap of 69% and treatment gap of 50% were 1236 in Germany, 476 in Hungary, 1413 in Italy, 938 in Portugal, 2093 in Sweden, and 1496 in the UK. The incremental costs per QALY of reducing the detection gap to 50% ranged from 2429 in Hungary to 10,686 in Sweden. The figures for reducing the treatment gap to 25% ranged from 3146 in Hungary to 13,843 in Sweden.CONCLUSIONS:
Reducing detection and treatment gaps, and maintaining current patterns of care, is likely to increase healthcare costs in the short term. However, outcomes are improved, and reducing these gaps to 50 and 25%, respectively, appears to be a cost-effective use of resources.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
1_ASSA2030
Base de dados:
MEDLINE
Assunto principal:
Transtorno Depressivo Maior
Tipo de estudo:
Diagnostic_studies
/
Guideline
/
Health_economic_evaluation
/
Prognostic_studies
Aspecto:
Patient_preference
Limite:
Humans
País/Região como assunto:
Europa
Idioma:
En
Revista:
Eur Psychiatry
Ano de publicação:
2023
Tipo de documento:
Article