The economic prognosis of the new analog of insulin glargine usage in diabetes mellitus type 2
Modelling has been performed for evaluation of economic perspectives of new insulin glargine 300 IU/ml usage for diabetes mellitus type 2 (DM2) control based on literature analysis of non-direct comparison with insulin detemir. Evaluation of the reimbursement’s reasonability for insulin glargine 300...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
Izdatelstvo OKI
2018-05-01
|
| Series: | Качественная клиническая практика |
| Subjects: | |
| Online Access: | https://www.clinvest.ru/jour/article/view/41 |
| Summary: | Modelling has been performed for evaluation of economic perspectives of new insulin glargine 300 IU/ml usage for diabetes mellitus type 2 (DM2) control based on literature analysis of non-direct comparison with insulin detemir. Evaluation of the reimbursement’s reasonability for insulin glargine 300 IU/ml in clinical practice was the aim of this analysis. Utility cost of insulin glargine 300 IU/ml is higher than insulin detemir for 1 IU on 25,2% (according to Governmental Reestr of maximal manufacturers’ prices). Meanwhile efficacy of insulin glargine on control of DM2 is higher than insulin detemir (61,7% and 42,5% accordingly, Odds Ratio 2,18, 95%CI 1,41-3,34; p=0,01). Besides that, insulin glargine had less amount of hypoglycemic events, less necessity for out-patients visits and hospitalizations. Calculated “cost-effective ratio” (CER), which has included annual insulins’ cost, potential expenditures for severe hypo treatment, cost of medical aid for out-patients and in-patients has been more preferable for insulin glargine (CER for insulin glargine 46 252,40 RUR, for insulin detemir 76 681,01 RUR). Conclusion: Modelling has confirmed the economic rationality of insulin glargine 300 IU/ml usage for effective DM2 control in governmental reimbursement system because budget expenditures will not increase (expert’s conclusion). Prospective comparable trials in the future are important for economic evaluation. |
|---|---|
| ISSN: | 2588-0519 2618-8473 |