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Cost-effectiveness analysis of diagnostic-therapeutic strategies for visceral leishmaniasis in Brazil
Assis, Tália Santana Machado de; Rabello, Ana; Cota, Gláucia; Werneck, Guilherme Loureiro; Azeredo-da-Silva, André Luís Ferreira de.
Affiliation
  • Assis, Tália Santana Machado de; Centro Federal de Educação Tecnológica de Minas Gerais. Contagem. BR
  • Rabello, Ana; Pesquisa Clínica e Políticas Públicas em Doenças Infecciosas e Parasitárias. Grupo de Pesquisa. Belo Horizonte. BR
  • Cota, Gláucia; Pesquisa Clínica e Políticas Públicas em Doenças Infecciosas e Parasitárias. Grupo de Pesquisa. Belo Horizonte. BR
  • Werneck, Guilherme Loureiro; Universidade do Estado do Rio de Janeiro. Instituto de Medicina Social. Departamento de Epidemiologia. BR
  • Azeredo-da-Silva, André Luís Ferreira de; Instituto de Avaliação de Tecnologia em Saúde. Porto Alegre. BR
Rev. Soc. Bras. Med. Trop ; Rev. Soc. Bras. Med. Trop;52: e20180272, 2019. tab, graf
Article de En | LILACS | ID: biblio-1041550
Bibliothèque responsable: BR1.1
ABSTRACT
Abstract

INTRODUCTION:

Visceral leishmaniasis (VL) is fatal if not diagnosed and treated. This study aimed to estimate the cost-effectiveness of diagnostic-therapeutic alternatives for VL in Brazil.

METHODS:

A decision model estimated the life expectancy and costs of six diagnostic-therapeutic strategies.

RESULTS:

IT LEISH + liposomal amphotericin B emerged the best option, presenting lower costs and higher effectiveness. DAT-LPC + liposomal amphotericin B showed an incremental cost-effectiveness ratio of US$ 326.31 per life year.

CONCLUSIONS:

These findings indicate the feasibility of incorporating DAT and designating liposomal amphotericin B as the first-line drug for VL in Brazil.
Sujet(s)
Mots clés

Texte intégral: 1 Indice: LILACS Sujet Principal: Amphotéricine B / Analyse coût-bénéfice / Leishmaniose viscérale / Méglumine / Antiprotozoaires Type d'étude: Diagnostic_studies / Health_economic_evaluation / Prognostic_studies Limites du sujet: Humans Pays comme sujet: America do sul / Brasil langue: En Texte intégral: Rev. Soc. Bras. Med. Trop Thème du journal: MEDICINA TROPICAL Année: 2019 Type: Article

Texte intégral: 1 Indice: LILACS Sujet Principal: Amphotéricine B / Analyse coût-bénéfice / Leishmaniose viscérale / Méglumine / Antiprotozoaires Type d'étude: Diagnostic_studies / Health_economic_evaluation / Prognostic_studies Limites du sujet: Humans Pays comme sujet: America do sul / Brasil langue: En Texte intégral: Rev. Soc. Bras. Med. Trop Thème du journal: MEDICINA TROPICAL Année: 2019 Type: Article