NDLI: Humanistic and economic aspects of haemophilia treatment in Bulgaria. Comparison between two therapeutic approaches: prophylactic vs. on-demand treatment

Content Provider	PubMed Central
Author	Petrova, Guenka Konstantin, Tachkov Georgieva, Svetla Dimitrova, Maria
Copyright Year	2014
Abstract	The aim of the present study was to calculate the cost-effectiveness of on-demand and prophylactic treatments of severe haemophilia A for Bulgarian patients. The point of view is that of all patients suffering from severe haemophilia A. An epidemiological model was created, which includes data regarding the number of patients divided into age groups up to 74 years. In the model, the transition age from prophylactic to on-demand treatment was gradually increased to up to 40 years. Costs of blood clotting factor, hospitalization, major surgery and indirect costs were considered; incremental cost-effectiveness ratio was calculated. The results showed that despite the increase in the costs for factor VIII with 20 million BGN, the saving obtained from other health services and indirect expenses reduce the overall expenses with 5.3 million BGN. If there is a gradual increase in the age when patients are transferred from a prophylactic to an on-demand regimen, the costs for factor VIII would increase from 10.4 million to 19.7 million BGN, but due to a decrease in indirect costs as well as other health service costs, the total costs would decrease. The sensitivity analysis showed that the costs for clotting factor VIII are what influences the cost-effectiveness in both regimes. This indicates that decreases in the factor VIII cost will increase the overall efficiency in both regimes. In conclusion, the application of the prophylactic regime for patients up to 40 years of age will provide better treatment, increase the quality of life and decrease the incremental costs.
Related Links	http://dx.doi.org/10.1080/13102818.2014.926687
Ending Page	582
Page Count	7
Starting Page	576
File Format	PDF
ISSN	13102818
e-ISSN	13143530
Journal	Biotechnology, Biotechnological Equipment
Issue Number	3
Volume Number	28
Language	English
Publisher	Taylor & Francis
Publisher Date	2014-05-04
Access Restriction	Open
Rights Holder	Taylor & Francis
Subject Keyword	Biotechnology Research in Higher Education
Content Type	Text
Resource Type	Article
Subject	Biotechnology

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