title: The Cost-Effectiveness of Continuous Erythropoiesis Receptor Activator Once Monthly versus Epoetin Thrice Weekly for Anaemia Management in Chronic Haemodialysis Patients.
abstract: Introduction. The aim of this study was to compare the cost-effectiveness of continuous erythropoietin receptor activator (CERA) once monthly to epoetin beta (EpoB) thrice weekly to maintain haemoglobin (Hb) within the range 10.5-12 g/dL. Methods. Prospective cohort study and cost-effectiveness analysis. Chronic haemodialysis patients (CHP), being treated with EpoB, were selected for two periods of follow-up: period 1, maintaining prior treatment with EpoB, and period 2, conversion to CERA once monthly. Hb concentrations and costs were measured monthly. Health care payer perspective for one year was adopted. Results. 75 CHP completed the study, with a mean age of 52.9 ± 14.3 years. Baseline Hb was 11.14 ± 1.18 g/dL in EpoB phase and 11.46 ± 0.79 g/dL in CERA phase; we observed a significant increase in the proportion of patients successfully treated (Hb within the recommended range), 65.3% versus 70.7%, p: 0.008, and in the average effectiveness by 4% (0.55 versus 0.59). Average cost-effectiveness ratios were 6013.86 and 5173.64$, with an ICER CERA to EpoB at -6457.5$. Conclusion. Our health economic evaluation of ESA use in haemodialysis patients suggests that the use of CERA is cost-effective compared with EpoB.
authors: Research Team of Pharmacoepidemiology & Pharmacoeconomics, Medical and Pharmacy School, Mohammed V University, Madinat Al Irfane, 10000 Rabat, Morocco; Department of Nephrology & Dialysis, Military Hospital Agadir, 20450 Agadir, Morocco.
authors: Omar
authors: O
authors: Maoujoud
authors: Research Team of Pharmacoepidemiology & Pharmacoeconomics, Medical and Pharmacy School, Mohammed V University, Madinat Al Irfane, 10000 Rabat, Morocco.
authors: Samir
authors: S
authors: Ahid
authors: Meknes Dialysis Center (on Behalf of Moroccan Society of Nephrology), 33150 Meknes, Morocco.
authors: Hocein
authors: H
authors: Dkhissi
authors: IdrissAlakbar Dialysis Center (on Behalf of the Scientific Committee, Moroccan Society of Nephrology), 12470 Rabat, Morocco.
authors: Zouhair
authors: Z
authors: Oualim
authors: Research Team of Pharmacoepidemiology & Pharmacoeconomics, Medical and Pharmacy School, Mohammed V University, Madinat Al Irfane, 10000 Rabat, Morocco.
authors: Yahia
authors: Y
authors: Cherrah