Análisis coste-utilidad del modelo de unidad de terapia intravítrea (UTI) frente a la administración tradicional de terapia intravítrea

  1. Carlos M. Martín Saborido 12
  2. Javier Zarranz-Ventura 34
  3. José Juan Escobar-Barranco 5
  4. Gonzaga Garay-Aramburu 6
  5. Alfredo García-Layana 7
  6. Juan Donate-López 89
  7. C. Blanch 10
  8. Maximino J.Abraldes 1112
  1. 1 Instituto de Salud Carlos III
    info

    Instituto de Salud Carlos III

    Madrid, España

    ROR https://ror.org/00ca2c886

  2. 2 Centro de Educación Superior Hygiea, UDIMA, Madrid, España
  3. 3 Hospital Clinic Barcelona
    info

    Hospital Clinic Barcelona

    Barcelona, España

    ROR https://ror.org/02a2kzf50

  4. 4 Institut d'Investigacions Biomèdiques August Pi i Sunyer
    info

    Institut d'Investigacions Biomèdiques August Pi i Sunyer

    Barcelona, España

    ROR https://ror.org/054vayn55

  5. 5 Hospital Dos de Maig
    info

    Hospital Dos de Maig

    Barcelona, España

  6. 6 Instituto de Investigación Sanitaria Biocruces Bizkaia
    info

    Instituto de Investigación Sanitaria Biocruces Bizkaia

    Barakaldo, España

    ROR https://ror.org/0061s4v88

  7. 7 Clínica Universitaria de Navarra
    info

    Clínica Universitaria de Navarra

    Pamplona, España

    ROR https://ror.org/03phm3r45

  8. 8 Hospital Universitario La Luz, Madrid, España
  9. 9 Hospital Clínico San Carlos de Madrid
    info

    Hospital Clínico San Carlos de Madrid

    Madrid, España

    ROR https://ror.org/04d0ybj29

  10. 10 Health Economics & Evidence Strategy, Novartis Farmacéutica, Barcelona, España
  11. 11 Complexo Hospitalario Universitario de Santiago
    info

    Complexo Hospitalario Universitario de Santiago

    Santiago de Compostela, España

    ROR https://ror.org/00mpdg388

  12. 12 Instituto Oftalmológico Gómez-Ulla, Santiago de Compostela
    info

    Instituto Oftalmológico Gómez-Ulla, Santiago de Compostela

    Santiago de Compostela, España

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Journal:
Archivos de la Sociedad Española de Oftalmologia

ISSN: 0365-6691

Year of publication: 2023

Volume: 98

Issue: 11

Pages: 619-626

Type: Article

DOI: 10.1016/J.OFTAL.2023.08.001 DIALNET GOOGLE SCHOLAR

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.

Data source: Dialnet