Inhaler Review in Older Adults with Asthma or COPD: A Cost-Effectiveness Study and a Perspective in Portugal

Journal of the American Geriatrics Society
Tiago MaricotoLuís Taborda-Barata

Abstract

Older patients with asthma or chronic obstructive pulmonary disease are particularly susceptible to exacerbations that may be associated with incorrect use of inhalers. Educational programs with inhaler technique review seem to be effective, but no studies have addressed their cost-effectiveness in older adult patients. The objective was to perform a cost-effectiveness analysis of education programs in older patients and estimate the cost benefit of applying such a program in Portugal. We developed a decision tree analysis from a healthcare perspective, according to intervention costs and the exacerbation rates and costs described in a previous meta-analysis. A sensitivity analysis of worst and best case scenarios was performed to estimate thresholds for intervention affordable limits, as well as cost-saving estimations and incremental cost-effectiveness ratios (ICERs) for a Portuguese scenario. We estimated cost-effectiveness thresholds applicable in all settings and performed a sensitivity analysis of a theoretical intervention model in all patients including an inhaler technique review at an annual appointment with a doctor and a nurse. In the best case scenario, the intervention affordable budget could be up to almost 1800€...Continue Reading

References

Sep 1, 1991·Journal of General Internal Medicine·M B BoltonL R Schultz
May 4, 2001·The European Respiratory Journal·F Gallefoss, P S Bakke
Mar 8, 2003·Archives of Internal Medicine·Jean BourbeauUNKNOWN Chronic Obstructive Pulmonary Disease axis of the Respiratory Network Fonds de la Recherche en Santé du Québec
May 18, 2007·American Journal of Respiratory and Critical Care Medicine·Klaus F RabeUNKNOWN Global Initiative for Chronic Obstructive Lung Disease
Sep 18, 2007·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Nora MoumjidMarie-Odile Carrère
Dec 18, 2007·Respiratory Medicine·Federico LavoriniGraham K Crompton
Oct 22, 2009·British Journal of Clinical Pharmacology·Maher R KhdourJames C McElnay
Apr 2, 2010·The European Respiratory Journal·J W DoddP W Jones
Sep 2, 2010·Journal of Aerosol Medicine and Pulmonary Drug Delivery·Geert N RootmensenRob J de Haan
May 3, 2011·The European Respiratory Journal·A PapiD Price
Jun 22, 2011·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Robert BarronsAlaina Borries
Apr 24, 2012·The American Journal of Geriatric Pharmacotherapy·Linda Simoni-WastilaLynda Bryant-Comstock
Sep 6, 2012·International Archives of Allergy and Immunology·Simone AccordiniRoberto de Marco
Feb 1, 2013·Chest·Sylvia VilleneuveJean-François Gagnon
Mar 30, 2013·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Don HusereauUNKNOWN ISPOR Health Economic Evaluation Publication Guidelines-CHEERS Good Reporting Practices Task Force
Dec 1, 2009·Seminars in Spine Surgery·Hilary F RyderJon D Lurie
Oct 18, 2014·The European Respiratory Journal·Marjolein EngelkesKatia M C Verhamme
Mar 31, 2015·The Annals of Pharmacotherapy·Cheryl A SadowskiHoan Linh Banh
Jan 9, 2016·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Tomáš MlčochMilan Macek
Apr 7, 2016·International Journal of Chronic Obstructive Pulmonary Disease·Alessandro RoggeriDaniela Paola Roggeri
Jan 7, 2017·Science
Jan 25, 2017·Jornal brasileiro de pneumologia : publicaça̋o oficial da Sociedade Brasileira de Pneumologia e Tisilogia·Tiago MaricotoAlcina Saraiva
Jan 18, 2018·Respiratory Research·Omar Sharif UsmaniRichard Dekhuijzen
Jan 18, 2018·The Journal of Allergy and Clinical Immunology. in Practice·Richard DekhuijzenJob F M van Boven
Oct 7, 2018·Journal of the American Geriatrics Society·Tiago MaricotoLuís Taborda-Barata

❮ Previous
Next ❯

Citations

Aug 29, 2020·Journal of Clinical Medicine·José Luis Lopez-CamposCandelaria Caballero-Eraso
Nov 25, 2021·Minerva medica·Jaime Correia-DE-SousaSiân Williams

❮ Previous
Next ❯

Related Concepts

Related Feeds

Asthma

This feed focuses in Asthma in which your airways narrow and swell. This can make breathing difficult and trigger coughing, wheezing and shortness of breath.

Allergy and Asthma

Allergy and asthma are inflammatory disorders that are triggered by the activation of an allergen-specific regulatory t cell. These t cells become activated when allergens are recognized by allergen-presenting cells. Here is the latest research on allergy and asthma.