Cost-utility analysis of interferon-free treatments for patients with early-stage genotype 1 hepatitis C virus in Brazil

Abstract INTRODUCTION We conducted a cost-utility analysis of available interferon-free treatments for patients with early-stage genotype 1 chronic hepatitis C based on a Brazilian public health system perspective. METHODS A Markov model was derived using a cohort of stage F0-F2 patients treated...

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Main Authors: Vinicius Lins Ferreira, Leticia Paula Leonart, Maria Lucia Alves Pedroso, Roberto Pontarolo
Format: Article
Language:English
Published: Sociedade Brasileira de Medicina Tropical (SBMT) 2020-06-01
Series:Revista da Sociedade Brasileira de Medicina Tropical
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822020000100651&tlng=en
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author Vinicius Lins Ferreira
Leticia Paula Leonart
Maria Lucia Alves Pedroso
Roberto Pontarolo
author_facet Vinicius Lins Ferreira
Leticia Paula Leonart
Maria Lucia Alves Pedroso
Roberto Pontarolo
author_sort Vinicius Lins Ferreira
collection DOAJ
description Abstract INTRODUCTION We conducted a cost-utility analysis of available interferon-free treatments for patients with early-stage genotype 1 chronic hepatitis C based on a Brazilian public health system perspective. METHODS A Markov model was derived using a cohort of stage F0-F2 patients treated as recommended by the Brazilian national guidelines. RESULTS: Glecaprevir plus pibrentasvir was superior to all other treatments, followed by sofosbuvir plus velpatasvir. Sofosbuvir plus daclatasvir was identified as the least cost-effective option. CONCLUSIONS: The above findings were confirmed via probabilistic sensitivity analysis and the tested scenarios.
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spelling doaj.art-1a8cdbed73894bb282a90ee5a3b422ed2022-12-22T03:28:55ZengSociedade Brasileira de Medicina Tropical (SBMT)Revista da Sociedade Brasileira de Medicina Tropical1678-98492020-06-015310.1590/0037-8682-0594-2019Cost-utility analysis of interferon-free treatments for patients with early-stage genotype 1 hepatitis C virus in BrazilVinicius Lins FerreiraLeticia Paula LeonartMaria Lucia Alves PedrosoRoberto Pontarolohttps://orcid.org/0000-0002-7049-4363Abstract INTRODUCTION We conducted a cost-utility analysis of available interferon-free treatments for patients with early-stage genotype 1 chronic hepatitis C based on a Brazilian public health system perspective. METHODS A Markov model was derived using a cohort of stage F0-F2 patients treated as recommended by the Brazilian national guidelines. RESULTS: Glecaprevir plus pibrentasvir was superior to all other treatments, followed by sofosbuvir plus velpatasvir. Sofosbuvir plus daclatasvir was identified as the least cost-effective option. CONCLUSIONS: The above findings were confirmed via probabilistic sensitivity analysis and the tested scenarios.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822020000100651&tlng=enHepatitis CCost-effectiveness analysisTreatmentBrazil
spellingShingle Vinicius Lins Ferreira
Leticia Paula Leonart
Maria Lucia Alves Pedroso
Roberto Pontarolo
Cost-utility analysis of interferon-free treatments for patients with early-stage genotype 1 hepatitis C virus in Brazil
Revista da Sociedade Brasileira de Medicina Tropical
Hepatitis C
Cost-effectiveness analysis
Treatment
Brazil
title Cost-utility analysis of interferon-free treatments for patients with early-stage genotype 1 hepatitis C virus in Brazil
title_full Cost-utility analysis of interferon-free treatments for patients with early-stage genotype 1 hepatitis C virus in Brazil
title_fullStr Cost-utility analysis of interferon-free treatments for patients with early-stage genotype 1 hepatitis C virus in Brazil
title_full_unstemmed Cost-utility analysis of interferon-free treatments for patients with early-stage genotype 1 hepatitis C virus in Brazil
title_short Cost-utility analysis of interferon-free treatments for patients with early-stage genotype 1 hepatitis C virus in Brazil
title_sort cost utility analysis of interferon free treatments for patients with early stage genotype 1 hepatitis c virus in brazil
topic Hepatitis C
Cost-effectiveness analysis
Treatment
Brazil
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822020000100651&tlng=en
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