Economic considerations on the usage of biologics in the allergy clinic.

allergy asthma biologics cost utility cost-effectiveness

Journal

Allergy
ISSN: 1398-9995
Titre abrégé: Allergy
Pays: Denmark
ID NLM: 7804028

Informations de publication

Date de publication:
01 2021
Historique:
received: 28 01 2020
revised: 04 07 2020
accepted: 08 07 2020
pubmed: 14 7 2020
medline: 15 5 2021
entrez: 14 7 2020
Statut: ppublish

Résumé

The advent of biologic therapies has transformed care for severe atopic disorders but their high cost poses new challenges with regard to long-term sustainability and fair allocation of resources. This article covers the basic concepts of cost-utility analyses and reviews the available literature on cost utility of biologic drugs in atopic disorders. When used within their limits as part of a multi-dimensional assessment, economic analyses can be extremely useful to guide decision-making and prioritization of care. Despite the good quality of most cost-utility analyses conducted for the use of biologics in asthma and other atopic diseases, their conclusions regarding cost-effectiveness are extremely variable. This is mainly due to the use of inconsistent estimates of health utility benefit with therapy. Development of reliable and validated instruments to measure disutility in atopic disorders and measure of indirect costs in atopic disease are identified as a priority for future research.

Identifiants

pubmed: 32656802
doi: 10.1111/all.14494
doi:

Substances chimiques

Biological Products 0

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

191-209

Informations de copyright

© 2020 EAACI and John Wiley and Sons A/S. Published by John Wiley and Sons Ltd.

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Auteurs

Pauline Azzano (P)

Department of Pediatrics, CHU Sainte-Justine, Montreal, QC, Canada.

Élise Dufresne (É)

Department of Pediatrics, CHU Sainte-Justine, Montreal, QC, Canada.

Thomas Poder (T)

Department of Management, Evaluation and Health Policy, School of Public Health, University of Montreal, Montreal, QC, Canada.
Research Center of the Institut Universitaire en Santé Mentale de Montréal, Montreal, QC, Canada.

Philippe Bégin (P)

Department of Pediatrics, CHU Sainte-Justine, Montreal, QC, Canada.

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