Cost-effectiveness analysis of low density lipoprotein cholesterol-lowering therapy in hypertensive patients with type 2 diabetes in Korea: single-pill regimen (amlodipine/atorvastatin) versus double-pill regimen (amlodipine+atorvastatin)
OBJECTIVES: Single-pill combination therapy (amlodipine/atorvastatin) might be more effective than double-pill therapy (amlodipine+atorvastatin) in patients with diabetes and concomitant hypertension requiring statin therapy. We compared the cost-effectiveness of a single-pill with that of double-pi...
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| Format: | Article |
| Language: | English |
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Korean Society of Epidemiology
2015-02-01
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| Series: | Epidemiology and Health |
| Subjects: | |
| Online Access: | http://www.e-epih.org/upload/pdf/epih-37-e2015010.pdf |
| _version_ | 1828408370547130368 |
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| author | Ji-Hyun Park Yong-Ho Lee Su-Kyoung Ko Bong-Soo Cha |
| author_facet | Ji-Hyun Park Yong-Ho Lee Su-Kyoung Ko Bong-Soo Cha |
| author_sort | Ji-Hyun Park |
| collection | DOAJ |
| description | OBJECTIVES: Single-pill combination therapy (amlodipine/atorvastatin) might be more effective than double-pill therapy (amlodipine+atorvastatin) in patients with diabetes and concomitant hypertension requiring statin therapy. We compared the cost-effectiveness of a single-pill with that of double-pill for control of low density lipoprotein cholesterol (LDL-C) levels, with the ultimate goal of cardiovascular disease prevention, in these patients using a cost-effectiveness analysis model that considered medication adherence. METHODS: Effectiveness was defined as the percentage (%) attainment of target LDL-C levels (<100 mg/dL) based on adherence for each therapy. Adherence was defined as compliance to medication (≥80% proportion of days covered). A systematic review of the literature was conducted to determine the proportion of patients who were adherent and target goal attainment based on adherence level. The annual medication costs were based on the adherence levels for each regimen. The average cost-effectiveness ratio (ACER) was calculated as the cost per % attainment of the target LDL-C level. RESULTS: The ACER for the single-pill regimen was lower than for the double-pill regimen (4,123 vs. 6,062 Korean won per 1% achievement of target goal). Compared with the double-pill, the medication costs were approximately 32% lower with the single-pill. CONCLUSION:A single-pill for reductions in LDL-C is cost-effective compared with double-pill in hypertensive patients with type 2 diabetes. |
| first_indexed | 2024-12-10T11:37:48Z |
| format | Article |
| id | doaj.art-b836c2455d104d7190bb0ad07fbb6471 |
| institution | Directory Open Access Journal |
| issn | 2092-7193 |
| language | English |
| last_indexed | 2024-12-10T11:37:48Z |
| publishDate | 2015-02-01 |
| publisher | Korean Society of Epidemiology |
| record_format | Article |
| series | Epidemiology and Health |
| spelling | doaj.art-b836c2455d104d7190bb0ad07fbb64712022-12-22T01:50:21ZengKorean Society of EpidemiologyEpidemiology and Health2092-71932015-02-013710.4178/epih/e2015010776Cost-effectiveness analysis of low density lipoprotein cholesterol-lowering therapy in hypertensive patients with type 2 diabetes in Korea: single-pill regimen (amlodipine/atorvastatin) versus double-pill regimen (amlodipine+atorvastatin)Ji-Hyun Park0Yong-Ho Lee1Su-Kyoung Ko2Bong-Soo Cha3 Pfizer Pharmaceuticals Korea Ltd., Seoul, Korea Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea Pfizer Pharmaceuticals Korea Ltd., Seoul, Korea Department of Internal Medicine, Yonsei University College of Medicine, Seoul, KoreaOBJECTIVES: Single-pill combination therapy (amlodipine/atorvastatin) might be more effective than double-pill therapy (amlodipine+atorvastatin) in patients with diabetes and concomitant hypertension requiring statin therapy. We compared the cost-effectiveness of a single-pill with that of double-pill for control of low density lipoprotein cholesterol (LDL-C) levels, with the ultimate goal of cardiovascular disease prevention, in these patients using a cost-effectiveness analysis model that considered medication adherence. METHODS: Effectiveness was defined as the percentage (%) attainment of target LDL-C levels (<100 mg/dL) based on adherence for each therapy. Adherence was defined as compliance to medication (≥80% proportion of days covered). A systematic review of the literature was conducted to determine the proportion of patients who were adherent and target goal attainment based on adherence level. The annual medication costs were based on the adherence levels for each regimen. The average cost-effectiveness ratio (ACER) was calculated as the cost per % attainment of the target LDL-C level. RESULTS: The ACER for the single-pill regimen was lower than for the double-pill regimen (4,123 vs. 6,062 Korean won per 1% achievement of target goal). Compared with the double-pill, the medication costs were approximately 32% lower with the single-pill. CONCLUSION:A single-pill for reductions in LDL-C is cost-effective compared with double-pill in hypertensive patients with type 2 diabetes.http://www.e-epih.org/upload/pdf/epih-37-e2015010.pdfAtorvastatin calciumAmlodipine besylateMedication adherenceLow density lipoprotein cholesterolCost-effectiveness analysis |
| spellingShingle | Ji-Hyun Park Yong-Ho Lee Su-Kyoung Ko Bong-Soo Cha Cost-effectiveness analysis of low density lipoprotein cholesterol-lowering therapy in hypertensive patients with type 2 diabetes in Korea: single-pill regimen (amlodipine/atorvastatin) versus double-pill regimen (amlodipine+atorvastatin) Epidemiology and Health Atorvastatin calcium Amlodipine besylate Medication adherence Low density lipoprotein cholesterol Cost-effectiveness analysis |
| title | Cost-effectiveness analysis of low density lipoprotein cholesterol-lowering therapy in hypertensive patients with type 2 diabetes in Korea: single-pill regimen (amlodipine/atorvastatin) versus double-pill regimen (amlodipine+atorvastatin) |
| title_full | Cost-effectiveness analysis of low density lipoprotein cholesterol-lowering therapy in hypertensive patients with type 2 diabetes in Korea: single-pill regimen (amlodipine/atorvastatin) versus double-pill regimen (amlodipine+atorvastatin) |
| title_fullStr | Cost-effectiveness analysis of low density lipoprotein cholesterol-lowering therapy in hypertensive patients with type 2 diabetes in Korea: single-pill regimen (amlodipine/atorvastatin) versus double-pill regimen (amlodipine+atorvastatin) |
| title_full_unstemmed | Cost-effectiveness analysis of low density lipoprotein cholesterol-lowering therapy in hypertensive patients with type 2 diabetes in Korea: single-pill regimen (amlodipine/atorvastatin) versus double-pill regimen (amlodipine+atorvastatin) |
| title_short | Cost-effectiveness analysis of low density lipoprotein cholesterol-lowering therapy in hypertensive patients with type 2 diabetes in Korea: single-pill regimen (amlodipine/atorvastatin) versus double-pill regimen (amlodipine+atorvastatin) |
| title_sort | cost effectiveness analysis of low density lipoprotein cholesterol lowering therapy in hypertensive patients with type 2 diabetes in korea single pill regimen amlodipine atorvastatin versus double pill regimen amlodipine atorvastatin |
| topic | Atorvastatin calcium Amlodipine besylate Medication adherence Low density lipoprotein cholesterol Cost-effectiveness analysis |
| url | http://www.e-epih.org/upload/pdf/epih-37-e2015010.pdf |
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