Cost-minimization analysis favours intravenous ferric carboxymaltose over ferric sucrose for the ambulatory treatment of severe iron deficiency.
OBJECTIVE: Intravenous iron is widely used to treat iron deficiency in day-care units. Ferric carboxymaltose (FCM) allows administration of larger iron doses than iron sucrose (IS) in each infusion (1000 mg vs. 200 mg). As FCM reduces the number of infusions required but is more expensive, we perfor...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2012-01-01
|
| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC3448662?pdf=render |
| _version_ | 1818912361103228928 |
|---|---|
| author | Xavier Calvet Xavier Calvet Miquel Àngel Ruíz Angelina Dosal Laura Moreno Maria López Ariadna Figuerola David Suarez Mireia Miquel Albert Villoria Emili Gené |
| author_facet | Xavier Calvet Xavier Calvet Miquel Àngel Ruíz Angelina Dosal Laura Moreno Maria López Ariadna Figuerola David Suarez Mireia Miquel Albert Villoria Emili Gené |
| author_sort | Xavier Calvet |
| collection | DOAJ |
| description | OBJECTIVE: Intravenous iron is widely used to treat iron deficiency in day-care units. Ferric carboxymaltose (FCM) allows administration of larger iron doses than iron sucrose (IS) in each infusion (1000 mg vs. 200 mg). As FCM reduces the number of infusions required but is more expensive, we performed a cost-minimization analysis to compare the cost impact of the two drugs. MATERIALS AND METHODS: The number of infusions and the iron dose of 111 consecutive patients who received intravenous iron at a gastrointestinal diseases day-care unit from 8/2007 to 7/2008 were retrospectively obtained. Costs of intravenous iron drugs were obtained from the Spanish regulatory agencies. The accounting department of the Hospital determined hospital direct and indirect costs for outpatient iron infusion. Non-hospital direct costs were calculated on the basis of patient interviews. In the pharmacoeconomic model, base case mean costs per patient were calculated for administering 1000 mg of iron per infusion using FCM or 200 mg using IS. Sensitivity analysis and Monte Carlo simulation were performed. RESULTS: Under baseline assumptions, the estimated cost of iron infusion per patient and year was €304 for IS and €274 for FCM, a difference of €30 in favour of FCM. Adding non-hospital direct costs to the model increased the difference to €67 (€354 for IS vs. €287 for FCM). A Monte Carlo simulation taking into account non-hospital direct costs favoured the use of FCM in 97% of simulations. CONCLUSION: In this pharmacoeconomic analysis, FCM infusion reduced the costs of iron infusion at a gastrointestinal day-care unit. |
| first_indexed | 2024-12-19T23:13:22Z |
| format | Article |
| id | doaj.art-071704225ff54809a589aa87ff884e0b |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-19T23:13:22Z |
| publishDate | 2012-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-071704225ff54809a589aa87ff884e0b2022-12-21T20:02:09ZengPublic Library of Science (PLoS)PLoS ONE1932-62032012-01-0179e4560410.1371/journal.pone.0045604Cost-minimization analysis favours intravenous ferric carboxymaltose over ferric sucrose for the ambulatory treatment of severe iron deficiency.Xavier CalvetXavier CalvetMiquel Àngel RuízAngelina DosalLaura MorenoMaria LópezAriadna FiguerolaDavid SuarezMireia MiquelAlbert VilloriaEmili GenéOBJECTIVE: Intravenous iron is widely used to treat iron deficiency in day-care units. Ferric carboxymaltose (FCM) allows administration of larger iron doses than iron sucrose (IS) in each infusion (1000 mg vs. 200 mg). As FCM reduces the number of infusions required but is more expensive, we performed a cost-minimization analysis to compare the cost impact of the two drugs. MATERIALS AND METHODS: The number of infusions and the iron dose of 111 consecutive patients who received intravenous iron at a gastrointestinal diseases day-care unit from 8/2007 to 7/2008 were retrospectively obtained. Costs of intravenous iron drugs were obtained from the Spanish regulatory agencies. The accounting department of the Hospital determined hospital direct and indirect costs for outpatient iron infusion. Non-hospital direct costs were calculated on the basis of patient interviews. In the pharmacoeconomic model, base case mean costs per patient were calculated for administering 1000 mg of iron per infusion using FCM or 200 mg using IS. Sensitivity analysis and Monte Carlo simulation were performed. RESULTS: Under baseline assumptions, the estimated cost of iron infusion per patient and year was €304 for IS and €274 for FCM, a difference of €30 in favour of FCM. Adding non-hospital direct costs to the model increased the difference to €67 (€354 for IS vs. €287 for FCM). A Monte Carlo simulation taking into account non-hospital direct costs favoured the use of FCM in 97% of simulations. CONCLUSION: In this pharmacoeconomic analysis, FCM infusion reduced the costs of iron infusion at a gastrointestinal day-care unit.http://europepmc.org/articles/PMC3448662?pdf=render |
| spellingShingle | Xavier Calvet Xavier Calvet Miquel Àngel Ruíz Angelina Dosal Laura Moreno Maria López Ariadna Figuerola David Suarez Mireia Miquel Albert Villoria Emili Gené Cost-minimization analysis favours intravenous ferric carboxymaltose over ferric sucrose for the ambulatory treatment of severe iron deficiency. PLoS ONE |
| title | Cost-minimization analysis favours intravenous ferric carboxymaltose over ferric sucrose for the ambulatory treatment of severe iron deficiency. |
| title_full | Cost-minimization analysis favours intravenous ferric carboxymaltose over ferric sucrose for the ambulatory treatment of severe iron deficiency. |
| title_fullStr | Cost-minimization analysis favours intravenous ferric carboxymaltose over ferric sucrose for the ambulatory treatment of severe iron deficiency. |
| title_full_unstemmed | Cost-minimization analysis favours intravenous ferric carboxymaltose over ferric sucrose for the ambulatory treatment of severe iron deficiency. |
| title_short | Cost-minimization analysis favours intravenous ferric carboxymaltose over ferric sucrose for the ambulatory treatment of severe iron deficiency. |
| title_sort | cost minimization analysis favours intravenous ferric carboxymaltose over ferric sucrose for the ambulatory treatment of severe iron deficiency |
| url | http://europepmc.org/articles/PMC3448662?pdf=render |
| work_keys_str_mv | AT xaviercalvet costminimizationanalysisfavoursintravenousferriccarboxymaltoseoverferricsucrosefortheambulatorytreatmentofsevereirondeficiency AT xaviercalvet costminimizationanalysisfavoursintravenousferriccarboxymaltoseoverferricsucrosefortheambulatorytreatmentofsevereirondeficiency AT miquelangelruiz costminimizationanalysisfavoursintravenousferriccarboxymaltoseoverferricsucrosefortheambulatorytreatmentofsevereirondeficiency AT angelinadosal costminimizationanalysisfavoursintravenousferriccarboxymaltoseoverferricsucrosefortheambulatorytreatmentofsevereirondeficiency AT lauramoreno costminimizationanalysisfavoursintravenousferriccarboxymaltoseoverferricsucrosefortheambulatorytreatmentofsevereirondeficiency AT marialopez costminimizationanalysisfavoursintravenousferriccarboxymaltoseoverferricsucrosefortheambulatorytreatmentofsevereirondeficiency AT ariadnafiguerola costminimizationanalysisfavoursintravenousferriccarboxymaltoseoverferricsucrosefortheambulatorytreatmentofsevereirondeficiency AT davidsuarez costminimizationanalysisfavoursintravenousferriccarboxymaltoseoverferricsucrosefortheambulatorytreatmentofsevereirondeficiency AT mireiamiquel costminimizationanalysisfavoursintravenousferriccarboxymaltoseoverferricsucrosefortheambulatorytreatmentofsevereirondeficiency AT albertvilloria costminimizationanalysisfavoursintravenousferriccarboxymaltoseoverferricsucrosefortheambulatorytreatmentofsevereirondeficiency AT emiligene costminimizationanalysisfavoursintravenousferriccarboxymaltoseoverferricsucrosefortheambulatorytreatmentofsevereirondeficiency |