Cost-effectiveness of interventions for chronic obstructive pulmonary disease (COPD) using an Ontario policy model
Chandra K, Blackhouse G, McCurdy BR, Bornstein M, Campbell K, Costa V, Franek J, Kaulback K, Levin L, Sehatzadeh S, Sikich N, Thabane M, Goeree R
Record ID 32012000635
English
Authors' objectives:
The objective of this study was to evaluate the cost-effectiveness and budget impact of the following interventions in moderate to very severe COPD, investigated in the Medical Advisory Secretariat Chronic Obstructive Pulmonary Disease Mega-Analysis Series:
- smoking cessation programs in moderate COPD in an outpatient setting:
– intensive counselling (IC) versus usual care (UC)
– nicotine replacement therapy (NRT) versus UC
– IC + NRT versus placebo
– bupropion versus placebo
- multidisciplinary care (MDC) teams versus UC in moderate to severe COPD in an outpatient setting
- pulmonary rehabilitation (PR) versus UC following acute exacerbations in moderate to severe COPD
- long-term oxygen therapy (LTOT) versus UC in severe hypoxemia in COPD in an outpatient setting
- ventilation:
– noninvasive positive pressure ventilation (NPPV) + usual medical care versus usual medical care in acute respiratory failure due to an acute exacerbation in severe COPD in an inpatient setting
– weaning with NPPV versus weaning with invasive mechanical ventilation in acute respiratory failure due to an acute exacerbation in very severe COPD in an inpatient setting
Authors' recommendations:
Currently, costs for most of these interventions are being absorbed by provider services, the Ontario Drug Benefit Program, the Assistive Devices Program, and the hospital global budget. The most cost-effective intervention for COPD will depend on decision-makers' willingness to pay. Lack of provincial data sets capturing resource utilization for the various interventions poses a challenge for estimating current burden and future expenditures.
Details
Project Status:
Completed
Year Published:
2012
URL for published report:
http://www.hqontario.ca/en/mas/tech/pdfs/2012/rev_COPD_Economic_March.pdf
URL for additional information:
http://www.hqontario.ca/en/mas/mas_ohtas_tech_copd_economic_20120313.html
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Canada
MeSH Terms
- Pulmonary Disease, Chronic Obstructive
- Cost-Benefit Analysis
Contact
Organisation Name:
Medical Advisory Secretariat
Contact Address:
Medical Advisory Secretariat, 20 Dundas Street West, 10th Floor, Toronto, ON M5G 2N6 CANADA. Tel: 416-314-1092l; Fax: 416-325-2364;
Contact Name:
MASinfo.moh@ontario.ca
Contact Email:
MASinfo.moh@ontario.ca
Copyright:
Medical Advisory Secretariat, Ontario Ministry of Health and Long-Term Care (MAS)
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