[The necessity of cost-effectiveness analysis in osteoporosis].
Economic evaluations are increasingly being used by decision-makers to estimate the cost-effectiveness of interventions. Major changes have recently occurred in the treatment of osteoporosis. The development of a valid economic model (Markov) in the field of osteoporosis is discussed, as well as these limitations. Intervention, such hip protectors, calcium and vitamin D, bisphosphonates, hormonal replacement therapy, SERMs, strontium ranélate, analogue of parathyroid hormone are analysed in the light of cost-effectiveness analyses.
Lamy
Olivier
O
Service de médecine interne, Département de médecine CHUV, 1011 Lausanne. olivier.lamy@chuv.ch
Krieg
Marc-Antoine
MA
D000368:Aged; D000369:Aged, 80 and over; D050071:Bone Density Conservation Agents / Q000191:economics / Q000627:therapeutic use; D002118:Calcium / Q000191:economics / Q000627:therapeutic use; D003362:Cost-Benefit Analysis; D003657:Decision Making; D004164:Diphosphonates / Q000191:economics / Q000627:therapeutic use; D005260:Female; D050723:Fractures, Bone / Q000191:economics / Q000517:prevention & control; D017048:Health Care Costs; D006620:Hip Fractures / Q000191:economics / Q000517:prevention & control; D020249:Hormone Replacement Therapy / Q000191:economics; D006801:Humans; D008297:Male; D008390:Markov Chains; D008875:Middle Aged; D018803:Models, Economic; D009942:Organometallic Compounds / Q000191:economics / Q000627:therapeutic use; D010024:Osteoporosis / Q000188:drug therapy / Q000191:economics*; D010281:Parathyroid Hormone / Q000031:analogs & derivatives / Q000191:economics; D011788:Quality of Life; D020845:Selective Estrogen Receptor Modulators / Q000191:economics / Q000627:therapeutic use; D013876:Thiophenes / Q000191:economics / Q000627:therapeutic use; D014807:Vitamin D / Q000191:economics / Q000627:therapeutic use
D050071:Bone Density Conservation Agents; D004164:Diphosphonates; D009942:Organometallic Compounds; D010281:Parathyroid Hormone; D020845:Selective Estrogen Receptor Modulators; D013876:Thiophenes; C081587:strontium ranelate; D014807:Vitamin D; D002118:Calcium