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J Comp Eff Res ; 6(4): 325-335, 2017 Jun.
Article in English | MEDLINE | ID: mdl-28452226

ABSTRACT

AIM: To investigate the cost-effectiveness of blue-light therapy versus a two-compound formulation (TCF) (Dovobet® gel [calcipotriol and betamethasone]) in mild-to-moderate psoriasis. METHODS: A Markov model was applied to describe the course of disease among Dutch patients with a Psoriasis Area and Severity Index (PASI) score ≤ 10 over a 52-week time horizon. Patients received either 12-week blue-light therapy or two 4-week treatments with TCF. Patients, experiencing no PASI reduction after either therapy, were assumed to receive 12-week ultraviolet B phototherapy. RESULTS: There was no significant difference in PASI reduction between two interventions (71 vs 72%). However, blue-light therapy was associated with a cost savings of EU€248. CONCLUSION: Treatment of mild-to-moderate chronic plaque psoriasis using blue-light therapy may be more cost-effective than TCF.


Subject(s)
Cost-Benefit Analysis/economics , Cost-Benefit Analysis/statistics & numerical data , Phototherapy/economics , Psoriasis/economics , Psoriasis/therapy , Betamethasone/administration & dosage , Betamethasone/analogs & derivatives , Betamethasone/therapeutic use , Calcitriol/administration & dosage , Calcitriol/analogs & derivatives , Calcitriol/therapeutic use , Dermatologic Agents/administration & dosage , Dermatologic Agents/economics , Dermatologic Agents/therapeutic use , Drug Combinations , Gels , Humans , Markov Chains , Netherlands , Ointments , Severity of Illness Index
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