PMID: 9417402Jan 7, 1998Paper

Medico-economic evaluation of treatment with clozapine versus treatment with previous neuroleptics

L'Encéphale
D Geronimi-FerretH Robert

Abstract

Since clozapine has been introduced into the treatment of schizophrenia, pharmaceutical costs rised in hospital. However, this data is not sufficient to estimate its global effect on cost-effectiveness; that's why we studied the whole direct costs generated by schizophrenia, the clinical effectiveness as well as the impact of therapeutics on the patients' quality of life. This work is a retrospective study of cost-effectiveness of clozapine treatment within three french psychiatric hospitals. The study was divided into three parts: - a twelve-month period concerning the treatment before clozapine; - two twelve-month periods for the analysis of clozapine treatment. The clinical evaluation was based on the CGI and an autoevaluation scale. Whether schizophrenic patients were hospitalized or not and the importance of neuroleptic-associated medicines were taken into account to evaluate the Quality of Life. The economical assessment is represented by adding pharmaceutical costs, biological examinations costs and hospitalization costs. Thirty-seven patients, out of seventy-five, were being taken into account (26 men and 11 women). The results of the CGI and autoevaluation scale showed a global improvement in the pathology within the f...Continue Reading

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