Document Detail


Cost-effectiveness and contraceptive effectiveness of the transdermal contraceptive patch.
MedLine Citation:
PMID:  15671994     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The purpose of this study was to examine implications of increased perfect use on the cost-effectiveness of the contraceptive patch compared with combination oral contraceptives (COCs). STUDY DESIGN: This study compared the patch with low-estrogen-dose COCs. It assumes that the risks of developing a medical condition during use are the same for both the patch and COCs. Differences in net cost and pregnancies avoided during use were modeled. With the use of a pharmacoeconomic model, both methods were compared with a hypothetical reference case of contraception nonuse. The base-case model considered women, ages 15 to 50, in average health in a long-term, mutually monogamous, heterosexual relationship. RESULTS: The base-case analysis showed that use of the patch resulted in a savings of 249 US dollars and 0.03 pregnancies per woman over 2 years compared with COCs. CONCLUSION: This analysis demonstrated that patch use would be cost saving compared with COC use, resulting in a net avoidance of pregnancy for this population. The cost savings are attributed to reduced costs of pregnancy.
Authors:
Frank A Sonnenberg; Ronald T Burkman; Leon Speroff; Carolyn Westhoff; C Greg Hagerty
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  192     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2005 Jan 
Date Detail:
Created Date:  2005-01-26     Completed Date:  2005-03-03     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1-9     Citation Subset:  AIM; IM    
Affiliation:
University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School, New Brunswick, NJ 08903, USA. sonnenbe@umdnj.edu
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MeSH Terms
Descriptor/Qualifier:
Administration, Cutaneous
Administration, Oral
Adolescent
Adult
Contraceptive Agents, Female / administration & dosage*,  economics*
Contraceptives, Oral, Combined / administration & dosage,  economics
Cost-Benefit Analysis
Female
Humans
Middle Aged
Models, Econometric
Pregnancy
Pregnancy Rate
United States
Chemical
Reg. No./Substance:
0/Contraceptive Agents, Female; 0/Contraceptives, Oral, Combined

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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