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Medical Journal of Islamic Republic of Iran، جلد ۳۱، شماره ۱، صفحات ۵۴۸-۵۵۴

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عنوان انگلیسی Cost-effectiveness analysis of subcutaneous immunoglobulin replacement therapy in Iranian patients with primary immunodeficiencies
چکیده انگلیسی مقاله     Background: Economic evaluation of subcutaneous immunoglobulin therapy (SCIG) is important, and it has recently been used for treatment of patients with primary immunodeficiency (PID) diseases, and can improve allocation of resources in health care systems. The present research aimed at providing an economic assessment of SCIG and IVIG (intravenous immunoglobulin therapy) administration in Iran.    Methods: Data related to clinical effectiveness were obtained from a meta-analysis. Economic analysis was performed taking into account the perspective of health care providers. Incremental cost-effectiveness ratio (ICER) was applied for economic evaluation of the 2 methods, and GDP per capita was considered as a threshold.    Results: The results of meta-analysis suggested a higher effectiveness of SCIG compared to IVIG in serum immunoglobulin (Ig) levels (SMD= 0.336) and adverse effects (OR= 0.497), while the cost of IVIG was higher than SCIG ($1370 vs. $121). The ICER obtained in this paper ($2939 for adverse effects and $4348 for serum Ig level) was less than the GDP per capita in Iran ($4,916.10), and thus SCIG is a more cost-effective therapy for PID patients.    Conclusion: Switching from IVIG to SCIG is cost-effective for PID patients and is approved by the health care providers' points of view in this study.  
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نویسندگان مقاله حسین شعبانی نژاد | hosein shabaninejad
department of health management, school of health management amp; information sciences, iran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی ایران (Iran university of medical sciences)

اسرا اصغرزاده | asra asgharzadeh
school of health management amp; information sciences, iran university of medical sciences, tehran, iran, amp; health technology assessment group htag , universal scientific education and research network usern , tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی ایران (Iran university of medical sciences)

عزیز رضاپور | aziz rezapour
health management and economics research center, iran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی ایران (Iran university of medical sciences)

نیما رضایی | nima rezaei
research center for immunodeficiencies children’s medical center, tehran university of medical sciences, tehran, iran, amp; department of immunology and biology, school of medicine tehran university of medical sciences, tehran, iran, amp; network of immunity in infection, malignancy and autoimmunity niima universal scientific education and research network usern , tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)


نشانی اینترنتی http://mjiri.iums.ac.ir/browse.php?a_code=A-10-2683-1&slc_lang=en&sid=en
فایل مقاله اشکال در دسترسی به فایل - ./files/site1/rds_journals/18/article-18-567973.pdf
کد مقاله (doi)
زبان مقاله منتشر شده en
موضوعات مقاله منتشر شده Public Administration & Health management and economics
نوع مقاله منتشر شده Original Research
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