Cost-effectiveness of sodium zirconium cyclosilicate for the treatment of hyperkalemia in patients with chronic kidney disease or heart failure in Spain.

Chronic kidney disease Ciclosilicato de sodio y zirconio Cost-effectiveness Coste-efectividad Enfermedad renal crónica Heart failure Hiperpotasemia Hyperkalemia Insuficiencia cardíaca Sodium zirconium cyclosilicate

Journal

Nefrologia
ISSN: 2013-2514
Titre abrégé: Nefrologia (Engl Ed)
Pays: Spain
ID NLM: 101778581

Informations de publication

Date de publication:
28 Oct 2024
Historique:
received: 28 11 2023
accepted: 27 02 2024
medline: 30 10 2024
pubmed: 30 10 2024
entrez: 29 10 2024
Statut: aheadofprint

Résumé

Hyperkalemia (HK) is an electrolyte disturbance in the concentration of potassium ions (K Two microsimulation models reflecting the natural history of CKD and HF were used. In both models, K SZC is a more effective option in both pathologies, with a difference in QALYs of 0.476 in CKD and 0.978 in HF compared to standard treatment, and it represents an incremental cost of € 3,616 and € 14,749, respectively, obtaining an incremental cost-utility ratio of € 7,605/QALY in CKD and € 15,078/QALY in HF. SZC is a cost-effective alternative for the treatment of HK in patients with CKD or HF, taking into account the reference efficiency values commonly used in Spain.

Sections du résumé

BACKGROUND AND OBJECTIVE OBJECTIVE
Hyperkalemia (HK) is an electrolyte disturbance in the concentration of potassium ions (K
MATERIALS AND METHODS METHODS
Two microsimulation models reflecting the natural history of CKD and HF were used. In both models, K
RESULTS RESULTS
SZC is a more effective option in both pathologies, with a difference in QALYs of 0.476 in CKD and 0.978 in HF compared to standard treatment, and it represents an incremental cost of € 3,616 and € 14,749, respectively, obtaining an incremental cost-utility ratio of € 7,605/QALY in CKD and € 15,078/QALY in HF.
CONCLUSIONS CONCLUSIONS
SZC is a cost-effective alternative for the treatment of HK in patients with CKD or HF, taking into account the reference efficiency values commonly used in Spain.

Identifiants

pubmed: 39472184
pii: S2013-2514(24)00183-4
doi: 10.1016/j.nefroe.2024.10.001
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2024. Published by Elsevier España, S.L.U.

Auteurs

Roberto Alcázar-Arroyo (R)

Servicio de Nefrología, Hospital Universitario Infanta Leonor, Madrid, Spain.

María G Crespo-Leiro (MG)

Servicio de Cardiología, Complexo Hospitalario Universitario A Coruña (CHUAC), A Coruña, Spain; Centro de Investigación Biomédica en Red Enfermedades Cardiovaculares (CIBERCV), Universidad de A Coruña (UDC), A Coruña, Spain.

Jordi Bover (J)

Servicio de Nefrología, Hospital Universitari Germans Trias i Pujol, Barcelona, Spain; Grupo de Investigación en Enfermedades Renales (REMAR-IGTP), Can Ruti Campus, Barcelona, Spain.

Juan Oliva (J)

Departamento de Análisis Económica y Finanzas, Facultad de Ciencias Jurídicas y Sociales, Universidad de Castilla-La Mancha, Toledo, Spain.

Miren Sequera-Mutiozabal (M)

AstraZeneca Farmacéutica España, S.A., Madrid, Spain.

Simona Gradari (S)

AstraZeneca Farmacéutica España, S.A., Madrid, Spain.

Anisia Martínez-López (A)

AstraZeneca Farmacéutica España, S.A., Madrid, Spain.

Blanca López-Chicheri (B)

AstraZeneca Farmacéutica España, S.A., Madrid, Spain.

Neus Vidal-Vilar (N)

Outcomes'10, S. L., Castellón de la Plana, Castellón, Spain. Electronic address: nvidal@outcomes10.com.

Susana Aceituno (S)

Outcomes'10, S. L., Castellón de la Plana, Castellón, Spain.

Marta Cobo (M)

Servicio de Cardiología, Instituto de Investigación Sanitaria Puerta de Hierro - Segovia de Arana (IDIPHISA), Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain; Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain.

Classifications MeSH