TITLE

Cost-effectiveness analysis of a state funded programme for control of severe asthma

AUTHOR(S)
Franco, Rosana; Santos, Andreia C.; do Nascimento, Harrison F.; Souza-Machado, Carolina; Ponte, Eduardo; Souza-Machado, Adelmir; Loureiro, Sebastião; Barreto, Maurício L.; Rodrigues, Laura C.; Cruz, Alvaro A.
PUB. DATE
January 2007
SOURCE
BMC Public Health;2007, Vol. 7, p82
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Asthma is one of the most common chronic diseases and a major economical burden to families and health systems. Whereas efficacy of current therapeutical options has been clearly established, cost-effectiveness analysis of public health interventions for asthma control are scarce. Methods: 81 patients with severe asthma (12-75 years) joining a programme in a reference clinic providing free asthma medication were asked retrospectively about costs and events in the previous 12 months. During 12 months after joining the programme, information on direct and indirect costs, asthma control by lung function, symptoms and quality of life were collected. The information obtained was used to estimate cost-effectiveness of the intervention as compared to usual public health asthma management. Sensitivity analysis was conducted. Results: 64 patients concluded the study. During the 12-months follow-up within the programme, patients had 5 fewer days of hospitalization and 68 fewer visits to emergency/non scheduled medical visits per year, on average. Asthma control scores improved by 50% and quality of life by 74%. The annual saving in public resources was US$387 per patient. Family annual income increased US$512, and family costs were reduced by US$733. Conclusion: A programme for control of severe asthma in a developing country can reduce morbidity, improve quality of life and save resources from the health system and patients families.
ACCESSION #
29361970

 

Related Articles

  • Management of asthma. Frew, Anthony J. // Caribbean Health;Dec1998, Vol. 1 Issue 3, p9 

    The article discusses the current treatment strategies for asthma. These include proper treatment of inflammation and other symptoms to control the development of disease, start the therapy at low level and step it up gradually until the patients achieved good control, and help the patients...

  • Reversibility testing in patients with asthma and COPD. Lynes, Dave; Frankland, Karen // Nursing Standard;9/24/2008, Vol. 23 Issue 3, p45 

    This article examines the difference between chronic obstructive pulmonary disease and asthma, the use of reversibility testing and the various guidelines available to help healthcare professionals diagnose and treat patients with these conditions.

  • Archimedes: QUESTION 3. Burrill, Rianna; Carroll, Will // Archives of Disease in Childhood -- Fetal & Neonatal Edition;Sep2009, Vol. 94 Issue 9, p11 

    The article presents a medical case of a 6-year-old girl with asthma. She has been in the hospital in the last two years and was prescribed with 200 μg per day of inhaled budesonide while she takes salbutamol three-four times a week. It presents a question whether there is a written...

  • Review: anticholinergics in addition to β2 agonists improve outcome in children and adults with acute asthma. Rodrigo, G. J.; Castro-Rodriguez, J. A. // Evidence Based Medicine;Feb2006, Vol. 11 Issue 1, p21 

    The article reports on a study which reviews various research to determine whether inhaled anticholinergic agents plus β2 agonists can enhanced outcome in children and adults with acute asthma exacerbations compared to β2 agonists alone. The studies examined used randomized controlled...

  • Commentary. Thien, Frank // Evidence Based Medicine;Feb2006, Vol. 11 Issue 1, p21 

    The article comments on a study by G. J. Rodrigo and colleagues which reviews various research to determine whether inhaled anticholinergic agents plus β2 agonists can enhanced outcome in children and adults with acute asthma exacerbations compared to β2 agonists alone. The meta-analysis...

  • Utilization and responsiveness of the asthma control test (ACT) at the initiation of therapy for patients with asthma: a randomized controlled trial.  // BMC Pulmonary Medicine;2012, Vol. 12 Issue 1, p14 

    The article presents information on a study which evaluates the effectiveness of the asthma control test (ACT) to find out the changes at the initiation of therapy and its utilization in the initiation of asthma treatment. The randomized controlled trial included patients who had not received...

  • AWARENESS AND USE OF COMPLEMENTARY ALTERNATIVE MEDICINE IN PATIENTS WITH ASTHMA. Rehman, Rehana; Naz, Ayesha Saba; Khan, Rakhshaan; Hashmi, Faisal; Ejaz, Yasir // JPMI: Journal of Postgraduate Medical Institute;2013, Vol. 27 Issue 4, p356 

    Objective: To compare awareness and usage of various complementary alternative medicine (CAM) modalities in patients with asthma. Methodology: An observational cross sectional study conducted at Pulmonology clinics on 452 male and female patients. Their age ranged from 10 till 50 years. An...

  • Review: regular medical review is equivalent to written self management plans for optimising asthma control in adults. Powell, H.; Gibson, P. G. // Evidence Based Medicine;Jul2003, p115 

    The article presents a study that compares the effectiveness of regular medical review (RMR) and self written management plans in controlling asthma in adults in Ontario. Researchers did a randomized controlled trial on 2460 patients using the two intervention methods. Moreover, they found that...

  • High frequency chest wall oscillation for asthma and chronic obstructive pulmonary disease exacerbations: a randomized sham-controlled clinical trial. Mahajan, Amit K.; Diette, Gregory B.; Hatipoğlu, Umur; Bilderback, Andrew; Ridge, Alana; Harris, Vanessa Walker; Dalapathi, Vijay; Badlani, Sameer; Lewis, Stephanie; Charbeneau, Jeff T.; Naureckas, Edward T.; Krishnan, Jerry A. // Respiratory Research;Sep2011, Vol. 12 Issue 9, p1 

    Background: High frequency chest wall oscillation (HFCWO) is used for airway mucus clearance. The objective of this study was to evaluate the use of HFCWO early in the treatment of adults hospitalized for acute asthma or chronic obstructive pulmonary disease (COPD). Methods: Randomized,...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics