Bronchial thermoplasty in patients with severe asthma. Efficacy, safety and efficiency.
Márquez-Peláez S, Molina-Linde JM, Carlos-Gil AM, Rosario-Lozano MP, Benot-López S.
Record ID 32018000414
Spanish
Original Title:
Termoplastia bronquial en pacientes con asma bronquial severo o grave. Eficacia, seguridad y eficiencia.
Authors' objectives:
To assess efficacy (in terms of quality of life, asthma control, number of exacerbations, lung function, medication and days without asthma symptoms), safety and economic aspects of bronchial thermoplasty in adult patients with moderate to severe persistent asthma, and resistant to standard care.
Authors' results and conclusions:
The included evidence about the efficacy of thermoplasty in moderate to severe asthma resistant to standard care, showed little improvement in reducing exacerbations, hospital admissions and lost work days, and no significant or clinically relevant differences in the scores of control asthma or quality of life. The evidence about safety, available in short and medium term (5 years), showed this technical as adequate. The evidence about economic aspects was scarce, but indicates that the thermoplasty is a cost-effective alternative. However, thermoplasty may not be considered an alternative to replace another, but rather an added therapeutic step. The inclusion of the technique requires significant costs in the first year of treatment; however it may offer significant savings over the medium and long term, with the appropriate selection of candidates.
Details
Project Status:
Completed
Year Published:
2016
URL for published report:
https://www.aetsa.org/publicacion/termoplastia-bronquial-en-pacientes-con-asma-bronquial-severo-o-grave-eficacia-seguridad-y-eficiencia/
English language abstract:
An English language summary is available
Publication Type:
Full HTA
Country:
Spain
MeSH Terms
- Asthma
- Bronchial Thermoplasty
- Bronchoscopy
Keywords
- asma
- Termoplastia bronquial
- Broncoscopia
Contact
Organisation Name:
Andalusian Health Technology Assessment Area
Contact Address:
Area de Evaluacion de Tecnologias Sanitarias Sanitarias de Andalucia (AETSA) Avda. Innovación, s/n Edificio Arena 1. Sevilla (Spain) Tel. +34 955 006 309
Contact Name:
aetsa.csalud@juntadeandalucia.es
Contact Email:
aetsa.csalud@juntadeandalucia.es
Copyright:
Andalusian Health Technology Assessment Area
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.