A fast-track anaemia clinic in the Emergency Department: cost-analysis of intravenous iron administration for treating iron-deficiency anaemia.
Blood Transfus
; 15(5): 438-446, 2017 Sep.
Article
em En
| MEDLINE
| ID: mdl-28151394
ABSTRACT
BACKGROUND:
A fast-track anaemia clinic (FTAC) for the management of moderate-to-severe iron-deficiency anaemia (IDA) was established in our Emergency Department in 2010. In this FTAC, the replacement of packed red cell transfusion by ferric carboxymaltose administration was proven to be safe and effective. The aim of this study was a cost-analysis of IDA management in the FTAC, comparing this management with the previous standard care pathway consisting of packed red cell transfusion, if needed, and referral to outpatient specialised care. MATERIALS ANDMETHODS:
A cost study was performed for patients with IDA who were at risk of requiring transfusion (haemoglobin <9 g/dL) but did not require hospitalisation. Total IDA treatment costs in the FTAC were compared to those theoretically incurred if these patients had been managed using the standard care pathway. In addition, a sensitivity analysis considering variations of up to ±30% in ferric carboxymaltose and packed red cell acquisition costs was performed (49 possible scenarios).RESULTS:
Between 2012 and 2015, 238 IDA patients were treated in the FTAC. The average treatment cost was 594±337/patient in the FTAC group and 672±301/patient in the standard care pathway group, with a saving of 78±28/patient (95% CI, 22-133; p<0.001). The sensitivity analysis showed that IDA treatment costs in the FTAC ( 480-722/patient), compared with those of the standard care pathway ( 550-794/patient), resulted in significant cost-savings for all studied scenarios ( 51-104/patient; p<0.005).DISCUSSION:
The administration of ferric carboxymaltose for IDA management in a FTAC may be cost-saving compared with the standard care pathway.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Compostos Férricos
/
Anemia Ferropriva
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Serviço Hospitalar de Emergência
/
Maltose
Tipo de estudo:
Guideline
/
Health_economic_evaluation
Limite:
Adult
/
Aged
/
Aged80
/
Female
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Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Blood Transfus
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Espanha