Document Detail


Economic evaluation of the use of exogenous pulmonary surfactants in preterm newborns in a Mexican population.
MedLine Citation:
PMID:  22965446     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVE: To estimate the cost-effectiveness ratio of surfactant rescue treatment of premature infants with respiratory distress syndrome (RDS) who are covered by the Medical Insurance for a New Generation.
MATERIALS AND METHODS: A cost-effectiveness evaluation was conducted from the third-payer perspective. Comparisons were made between the use of bovine surfactant (BS) therapy and without BS therapy. A decision tree model with a lifetime horizon was used where the measurements of effectiveness were life years gained (LYG) and quality-adjusted life years (QALYs). A 5% discount rate was considered for costs and health outcomes. All costs are expressed in Mexican pesos 2009.
RESULTS: Incremental cost-effectiveness ratios (ICER) were MXN$136670 per LYG and MXN$125250 per QALY.
CONCLUSION: Surfactant therapy was confirmed as a cost-effective strategy in accordance with World Health Organization criteria of three per capita gross domestic product (GDP) per QALY in premature infants with RDS in Mexico.
Authors:
Guillermo Salinas-Escudero; Alfonso Reyes-López; Juan Garduño-Espinosa; Miguel Angel Villasís-Keever; Silvia Martínez-Valverde; Onofre Muñoz-Hernández
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Salud pública de México     Volume:  54 Suppl 1     ISSN:  1606-7916     ISO Abbreviation:  Salud Publica Mex     Publication Date:  2012  
Date Detail:
Created Date:  2012-09-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0404371     Medline TA:  Salud Publica Mex     Country:  Mexico    
Other Details:
Languages:  eng     Pagination:  s73-81     Citation Subset:  IM    
Affiliation:
Centro de Estudios Económicos y Sociales en Salud, Hospital Infantil de México Federico Gómez, México, DF, México.
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