Cost Analysis of FreeStyle Libre® 2 System in Type 2 Diabetes Mellitus Population
| Autor: | Oyagüez, Itziar, Gómez-Peralta, Fernando, Artola, Sara, Carrasco Trancoso, Francisco Javier, Carretero-Gómez, Juana, García-Soidan, Javier, Gomez Huelgas, Ricardo, Merino-Torres, Juan F., Pérez Pérez, Antonio, Universitat Autònoma de Barcelona |
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| Přispěvatelé: | [Oyagüez,I] Pharmacoeconomics and Outcomes Research Iberia (PORIB), Pozuelo de Alarcón, Madrid, Spain. [Gómez-Peralta,F] Unidad de Endocrinología y Nutrición, Hospital General de Segovia, Segovia, Spain. [Artola,S] Centro de Salud José Marvá, Madrid, Spain. [Carrasco,FJ] UGC Medicina Interna, Hospital Universitario Juan Ramón Jiménez, Huelva, Spain. [Carretero-Gómez,J] Servicio de Medicina Interna, Hospital de Zafra, Badajoz, Spain. [García-Soidan,J] García-Soidan Porriño Primary Care Centre, Pontevedra, Spain. [Gómez-Huelgas,R] Servicio de Medicina Interna, Hospital Regional Universitario de Málaga, Instituto de Investigación Biomédica de Málaga (IBIMA), Universidad de Málaga, and Ciber Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Instituto de Salud Carlos III, Madrid, Spain. [Merino-Torres,JF] Endocrinología y Nutrición, Departamento Medicina, Hospital Universitario y Politécnico La Fe, Universitat de Valencia, Valencia, Spain. [Pérez,A] Servicio de Endocrinología y Nutrición. Hospital de la Santa Creu i Sant Pau, IIB-Sant Pau, CIBERDEM, Universitat Autónoma de Barcelona, Barcelona, Spain., Abbott Diabetes Care provided unconditional financial support to performing the analysis, medical writing and the journal’s Rapid Service Fee. |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
endocrine system diseases FreeStyle Libre Cost Endocrinology Diabetes and Metabolism Population 030209 endocrinology & metabolism 030204 cardiovascular system & hematology Health Care::Health Care Economics and Organizations::Economics::Costs and Cost Analysis::Cost Control::Cost Savings [Medical Subject Headings] Anatomy::Fluids and Secretions::Body Fluids::Extracellular Fluid [Medical Subject Headings] Costes y análisis de costes Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans [Medical Subject Headings] 03 medical and health sciences 0302 clinical medicine Diabetes mellitus Glucose monitoring Insulina Internal Medicine Medicine In patient education Flash Población Original Research Chemicals and Drugs::Hormones Hormone Substitutes and Hormone Antagonists::Hormones::Peptide Hormones::Pancreatic Hormones::Insulins [Medical Subject Headings] Geographical Locations::Geographic Locations::Europe::Spain [Medical Subject Headings] Health Care::Health Care Facilities Manpower and Services::Health Facilities::Hospitals [Medical Subject Headings] education.field_of_study business.industry Diabetes FreeStyle libre Type 2 Diabetes Mellitus medicine.disease Cost savings Diabetes mellitus tipo 2 Emergency medicine Cost analysis Analytical Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Self Care::Blood Glucose Self-Monitoring [Medical Subject Headings] Diseases::Nutritional and Metabolic Diseases::Metabolic Diseases::Glucose Metabolism Disorders::Diabetes Mellitus::Diabetes Mellitus Type 2 [Medical Subject Headings] Chemicals and Drugs::Chemical Actions and Uses::Pharmacologic Actions::Physiological Effects of Drugs::Hypoglycemic Agents [Medical Subject Headings] Automonitorización de la glucemia Health Care::Health Care Facilities Manpower and Services::Health Services::Patient Care::Hospitalization [Medical Subject Headings] business Insulin regimen Chemicals and Drugs::Carbohydrates::Monosaccharides::Hexoses::Glucose::Blood Glucose [Medical Subject Headings] |
| Zdroj: | Diabetes Therapy Dipòsit Digital de Documents de la UAB Universitat Autònoma de Barcelona |
| Popis: | Introduction: FreeStyle Libre 2 system is a sensor-based flash-monitoring system that measures interstitial fluid glucose. The study aimed to compare cost of FreeStyle Libre 2 system and self monitoring of blood glucose (SMBG) in the type 2 diabetes mellitus (T2DM) population from the Spanish Health System perspective. Methods: On the basis of data collected from a literature review, the cost of glucose monitoring was modelled for patients with T2DM on a basal-bolus insulin regimen. The cost estimate included annual consumption for glucose monitoring (strips, lancets and sensors) and severe hypoglycaemic events (SHE) manage ment. A published rate of SHE (2.5 episodes/patient-year) was considered. A reduction of SHE (- 48.8%) associated with FreeStyle Libre 2 system, derived from the REPLACE trial, was applied. Hospital attendance for 20.5% of SHEs (with subsequent hospital ization in 16.0%) was applied. Consumption of strips and lancets was set at 6/day for SMBG (derived from national monitoring recommendations), and 0.2/day for FreeStyle Libre 2 sys tem users, with 26 FreeStyle Libre 2 sensors/ year. Unitary costs (€, year 2020 excluding VAT) were derived from literature (€0.28/strip; €0.09/ lancet; €3.09/daily FM sensor; €3804/hospital ized SHE; €1794/hospital-attended non-admit ted SHE; €389/community-attended SHE). Results: Costs were €2700 and €2120/year/pa tient using SMBG or FreeStyle Libre 2 system, respectively. For 1000 patients with T2DM using basal-bolus insulin, 1220 SHEs/year (with 48 hospitalizations) could be prevented and FreeSytle Libre 2 system could generate cost savings of up to €580,953/year versus SMBG (- 21.5%) Conclusion: FreeStyle Libre 2 system is a potential cost-saving strategy in patients with T2DM in Spain on a basal-bolus insulin regimen. Yes |
| Databáze: | OpenAIRE |
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