Abstract |
AIM: MATERIALS & METHODS: Clinical data were retrieved from the 2012 Cochrane meta-analysis " Carbetocin for preventing postpartum hemorrhage". A decision tree was constructed. The direct costs were those of medications from the Peruvian official price list (DIGEMID). Costs associated with additional oxytocic drugs, blood transfusions, postpartum hemorrhage kits and hysterectomy were obtained from Hospital Nacional Edgardo Rebagliati Martins. The perspective of the study was that of the payer. The time horizon for calculating quality-adjusted life years (QALYs) was 1 year (2015). RESULTS: Patients who received carbetocin required fewer additional uterotonic agents, had fewer hemorrhages and received fewer blood transfusions. Therefore, the costs associated with these interventions were lower. The incremental cost-effectiveness ratio was S/. 49,918 per QALY gained, which is lower than the threshold we estimated for Peru. CONCLUSION:
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Authors | Sonia Indacochea Caceda, Richard Rubio Ramos, Carlos Martín Saborido |
Journal | Journal of comparative effectiveness research
(J Comp Eff Res)
Vol. 7
Issue 1
Pg. 49-55
(01 2018)
ISSN: 2042-6313 [Electronic] England |
PMID | 29264934
(Publication Type: Comparative Study, Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- Oxytocics
- Oxytocin
- carbetocin
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Topics |
- Cesarean Section
- Cost-Benefit Analysis
(economics, statistics & numerical data)
- Economics, Pharmaceutical
(statistics & numerical data)
- Female
- Humans
- Oxytocics
(economics, therapeutic use)
- Oxytocin
(analogs & derivatives, economics, therapeutic use)
- Peru
- Postpartum Hemorrhage
(economics, prevention & control)
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