[Health Technology Assessment to evaluate the economic advantage of offering of low-protein diet to pre-dialysis patients in Campania (Italy)]. / Un modello HTA a sostegno dell'offerta della dieta ipoproteica ai nefropatici della Campania.
Ig Sanita Pubbl
; 68(6): 781-92, 2012.
Article
en It
| MEDLINE
| ID: mdl-23369993
ABSTRACT
A low-protein diet is well known to slow the progression of chronic renal failure, delay initiation of dialysis, while achieving significant economic benefits. In the context of a Health Technology Assessment (HTA), a budget impact analysis model was implemented to evaluate the economic advantage of offering of low-protein diet to nephropathic patients in Campania (Italy). The implemented model takes into account only the direct costs to the national healthcare system. In particular, costs related to supplying low-protein foods are compared to dialysis costs avoided, in a scenario that evaluates different indices of Numbers Needed to Treat and compliance to treatment. Results indicate that when compliance to treatment is at least 50% and NNT is £ 50, supplying a low-protein diet to all kidney disease patients in the pre-dialysis phase, namely with an estimated Glomerular filtration rate > 45, in Campania (which in the year 2009 were equal to 25,000 subjects), is economically advantageous. In this perspective, the authors argue that distribution of low-protein foods by local pharmacies could be an appropriate choice as it would allow the products to be offered at a discounted price and create a favorable setting for increasing adherence to treatment.
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Bases de datos:
MEDLINE
Asunto principal:
Evaluación de la Tecnología Biomédica
/
Dieta con Restricción de Proteínas
/
Tecnología Biomédica
Tipo de estudio:
Health_economic_evaluation
/
Health_technology_assessment
Límite:
Humans
País/Región como asunto:
Europa
Idioma:
It
Revista:
Ig Sanita Pubbl
Año:
2012
Tipo del documento:
Article