Economic Evaluation of Denosumab for Treatment of Postmenopausal Osteoporosis: A Systematic Review

Background: We aimed to review the systematic economic evaluation of denosumab versus than alternative drugs and oral bisphosphonates of postmenopausal osteoporosis in women and help health system policy makers for prioritizing and optimally allocate limited health resources. Methods: We examine...

Full description

Bibliographic Details
Main Authors: Shahin Nargesi, Saeed Husseini Barghazan, Nadia Sani'ee, Asma Rashki Kemmak
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2022-07-01
Series:Iranian Journal of Public Health
Subjects:
Online Access:https://ijph.tums.ac.ir/index.php/ijph/article/view/24562
_version_ 1818507929458835456
author Shahin Nargesi
Saeed Husseini Barghazan
Nadia Sani'ee
Asma Rashki Kemmak
author_facet Shahin Nargesi
Saeed Husseini Barghazan
Nadia Sani'ee
Asma Rashki Kemmak
author_sort Shahin Nargesi
collection DOAJ
description Background: We aimed to review the systematic economic evaluation of denosumab versus than alternative drugs and oral bisphosphonates of postmenopausal osteoporosis in women and help health system policy makers for prioritizing and optimally allocate limited health resources. Methods: We examined the databases of PubMed, Web of Science, Embase, Scopus, Cochrane Library, ProQuest. Strategy search was designed based on keywords. Inclusion criteria were: studies that conducted economic evaluation denosumab compared to oral bisphosphonates for the treatment of osteoporosis in postmenopausal women. Cost-effectiveness studies conducted using decision analysis models based on the economic evaluation approach; studies with available full-text papers; and studies written in English and published between 2010 and 2020. After selecting articles based on inclusion and exclusion criteria, data were extracted and the results were summarized. The quality of the articles was evaluated using the CHEERS checklist. Results: Among 214 initial studies, 8 studies met the inclusion criteria. Most studies focused on the cost-effectiveness of denosumab compared with oral bisphosphonates for the treatment of osteoporosis. The study agreed interval ranged from 3 months to 5 years. The costs investigated in the studies were direct medical costs. In most studies, the use of denosumab significantly prevented fractures. Conclusion: Denosumab is generally more cost-effective than alternative drugs and oral bisphosphonates (alendronate, risedronate, strontium ranelate, ibandronate, and untreated).  
first_indexed 2024-12-10T22:24:52Z
format Article
id doaj.art-0977adaa43894ff8831635886df85827
institution Directory Open Access Journal
issn 2251-6085
2251-6093
language English
last_indexed 2024-12-10T22:24:52Z
publishDate 2022-07-01
publisher Tehran University of Medical Sciences
record_format Article
series Iranian Journal of Public Health
spelling doaj.art-0977adaa43894ff8831635886df858272022-12-22T01:31:13ZengTehran University of Medical SciencesIranian Journal of Public Health2251-60852251-60932022-07-0151710.18502/ijph.v51i7.10084Economic Evaluation of Denosumab for Treatment of Postmenopausal Osteoporosis: A Systematic ReviewShahin Nargesi0Saeed Husseini Barghazan1Nadia Sani'ee2Asma Rashki Kemmak3Department of Public Health, Faculty of Health, Ilam University of Medical Sciences, Ilam, IranDepartment of Health Economic, School of Health Management and Information Sciences, Iran University of Medical Sciences, Teh-ran, IranDepartment of Medical Library and Information Sciences, Student Research Committee, Iran University of Medical Sciences, Tehran, IranDepartment of Health Economic, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran Background: We aimed to review the systematic economic evaluation of denosumab versus than alternative drugs and oral bisphosphonates of postmenopausal osteoporosis in women and help health system policy makers for prioritizing and optimally allocate limited health resources. Methods: We examined the databases of PubMed, Web of Science, Embase, Scopus, Cochrane Library, ProQuest. Strategy search was designed based on keywords. Inclusion criteria were: studies that conducted economic evaluation denosumab compared to oral bisphosphonates for the treatment of osteoporosis in postmenopausal women. Cost-effectiveness studies conducted using decision analysis models based on the economic evaluation approach; studies with available full-text papers; and studies written in English and published between 2010 and 2020. After selecting articles based on inclusion and exclusion criteria, data were extracted and the results were summarized. The quality of the articles was evaluated using the CHEERS checklist. Results: Among 214 initial studies, 8 studies met the inclusion criteria. Most studies focused on the cost-effectiveness of denosumab compared with oral bisphosphonates for the treatment of osteoporosis. The study agreed interval ranged from 3 months to 5 years. The costs investigated in the studies were direct medical costs. In most studies, the use of denosumab significantly prevented fractures. Conclusion: Denosumab is generally more cost-effective than alternative drugs and oral bisphosphonates (alendronate, risedronate, strontium ranelate, ibandronate, and untreated).   https://ijph.tums.ac.ir/index.php/ijph/article/view/24562Cost benefit analysisDenosumabOsteoporosisPostmenopausalSystematic review
spellingShingle Shahin Nargesi
Saeed Husseini Barghazan
Nadia Sani'ee
Asma Rashki Kemmak
Economic Evaluation of Denosumab for Treatment of Postmenopausal Osteoporosis: A Systematic Review
Iranian Journal of Public Health
Cost benefit analysis
Denosumab
Osteoporosis
Postmenopausal
Systematic review
title Economic Evaluation of Denosumab for Treatment of Postmenopausal Osteoporosis: A Systematic Review
title_full Economic Evaluation of Denosumab for Treatment of Postmenopausal Osteoporosis: A Systematic Review
title_fullStr Economic Evaluation of Denosumab for Treatment of Postmenopausal Osteoporosis: A Systematic Review
title_full_unstemmed Economic Evaluation of Denosumab for Treatment of Postmenopausal Osteoporosis: A Systematic Review
title_short Economic Evaluation of Denosumab for Treatment of Postmenopausal Osteoporosis: A Systematic Review
title_sort economic evaluation of denosumab for treatment of postmenopausal osteoporosis a systematic review
topic Cost benefit analysis
Denosumab
Osteoporosis
Postmenopausal
Systematic review
url https://ijph.tums.ac.ir/index.php/ijph/article/view/24562
work_keys_str_mv AT shahinnargesi economicevaluationofdenosumabfortreatmentofpostmenopausalosteoporosisasystematicreview
AT saeedhusseinibarghazan economicevaluationofdenosumabfortreatmentofpostmenopausalosteoporosisasystematicreview
AT nadiasaniee economicevaluationofdenosumabfortreatmentofpostmenopausalosteoporosisasystematicreview
AT asmarashkikemmak economicevaluationofdenosumabfortreatmentofpostmenopausalosteoporosisasystematicreview