Análisis coste-utilidad del modelo de unidad de terapia intravítrea (UTI) frente a la administración tradicional de terapia intravítrea
- Carlos M. Martín Saborido 12
- Javier Zarranz-Ventura 34
- José Juan Escobar-Barranco 5
- Gonzaga Garay-Aramburu 6
- Alfredo García-Layana 7
- Juan Donate-López 89
- C. Blanch 10
- Maximino J.Abraldes 1112
-
1
Instituto de Salud Carlos III
info
- 2 Centro de Educación Superior Hygiea, UDIMA, Madrid, España
-
3
Hospital Clinic Barcelona
info
-
4
Institut d'Investigacions Biomèdiques August Pi i Sunyer
info
Institut d'Investigacions Biomèdiques August Pi i Sunyer
Barcelona, España
-
5
Hospital Dos de Maig
info
Hospital Dos de Maig
Barcelona, España
-
6
Instituto de Investigación Sanitaria Biocruces Bizkaia
info
Instituto de Investigación Sanitaria Biocruces Bizkaia
Barakaldo, España
-
7
Clínica Universitaria de Navarra
info
- 8 Hospital Universitario La Luz, Madrid, España
-
9
Hospital Clínico San Carlos de Madrid
info
- 10 Health Economics & Evidence Strategy, Novartis Farmacéutica, Barcelona, España
-
11
Complexo Hospitalario Universitario de Santiago
info
Complexo Hospitalario Universitario de Santiago
Santiago de Compostela, España
-
12
Instituto Oftalmológico Gómez-Ulla, Santiago de Compostela
info
Instituto Oftalmológico Gómez-Ulla, Santiago de Compostela
Santiago de Compostela, España
ISSN: 0365-6691
Year of publication: 2023
Volume: 98
Issue: 11
Pages: 619-626
Type: Article
More publications in: Archivos de la Sociedad Española de Oftalmologia
Abstract
Aim To compare the effectiveness and costs of the implementation of the intravitreal therapy unit model, endorsed by the SERV, SECA, SEO and SEDISA, compared to the usual procedure. Method Analytical decision model that compares an UTI-type healthcare organization with four usual practice scenarios in Spain, in terms of quality-of-life results due to loss of visual acuity and the use of resources. The probability, cost, and quality-adjusted life years (QALYs) were estimated for each scenario proposed. A univariate sensitivity analysis was performed for each of the parameters used in the model. Result The model showed that from any of the initial scenarios of the usual practice, transitioning to the UTI-type implementation improves the quality of life of patients and requires lower cost. UTI-type is dominant respect usual practice. The sensitivity analysis showed that the results would not change sign with the variation of any starting variable. Conclusions Shorten suspicion-needle times is key to maintaining functional vision in patients requiring intravitreal treatment. The UTI-type model seeks the efficiency of ophthalmology services and can produce savings that vary between €175 and €85 per patient attended per year.