1. Cost-effectiveness of empagliflozin for the treatment of heart failure with reduced ejection fraction in China
- Author
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Haiqiang Sang, Yiming Wan, Zhenzhou Ma, Shengye Zhang, and Qiuping Zhao
- Subjects
cost-benefit analysis ,empagliflozin ,heart failure with reduced ejection fraction ,pharmacoeconomics ,medical decision-making ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
AimTo determine the pharmacoeconomics of empagliflozin for the treatment of heart failure (HF) with reduced ejection fraction in China and to provide evidence-based reference for clinical rational drug selection and medical decision-making.Research design and methodsWe used the Markov model to evaluate the cost-effectiveness of empagliflozin for the treatment of HF with reduced ejection fraction (HFrEF). We evaluated the cost-effectiveness of the standard treatment in addition to empagliflozin (empagliflozin group) vs. the cost-effectiveness of the standard treatment alone (standard treatment group).ResultsWe found that each additional quality-adjusted life year (QALY) in the empagliflozin group costed $3,842.20 more, which was less than China’s gross domestic product (GDP) per capita in 2021 ($11,981). The steady-state mortality in the two groups was the key factor affecting the incremental cost-effectiveness ratio (ICER). Probabilistic sensitivity analysis revealed that when the willingness-to-pay (WTP) threshold was one time the GDP per capita in 2021 ($11,981) and three times the GDP per capita in 2021 ($35,943), the probability of the empagliflozin group being cost-effective was 85.8 and 91.6%, respectively.ConclusionCompared with the standard treatment alone, the addition of empagliflozin to the standard treatment was more cost-effective for the treatment of HFrEF in China.
- Published
- 2022
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