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Insulin Glargine in a Brazilian State: Should the Government Disinvest? An Assessment Based on a Systematic Review

Author

Listed:
  • Ana Caires de Souza
  • Francisco de Acurcio
  • Augusto Guerra Júnior
  • Renata Rezende Macedo do Nascimento
  • Brian Godman
  • Leonardo Diniz

Abstract

This systematic review showed no therapeutic benefit of insulin glargine over other insulin formulations studied when analysing together glycaemic control and the frequency and severity of hypoglycaemia. We therefore recommend to the State Authority to delist insulin glargine or renegotiate a price reduction with the manufacturer. This systematic review provides support for this decision as well as documentation to combat potential law suits if discussions are unsatisfactory. Copyright Springer International Publishing Switzerland 2014

Suggested Citation

  • Ana Caires de Souza & Francisco de Acurcio & Augusto Guerra Júnior & Renata Rezende Macedo do Nascimento & Brian Godman & Leonardo Diniz, 2014. "Insulin Glargine in a Brazilian State: Should the Government Disinvest? An Assessment Based on a Systematic Review," Applied Health Economics and Health Policy, Springer, vol. 12(1), pages 19-32, February.
    • Handle: RePEc:spr:aphecp:v:12:y:2014:i:1:p:19-32
    DOI: 10.1007/s40258-013-0073-6
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    Cited by:

    1. Paulo H. R. F. Almeida & Thales B. C. Silva & Francisco de Assis Acurcio & Augusto A. Guerra Júnior & Vania E. Araújo & Leonardo M. Diniz & Brian Godman & Alessandra M. Almeida & Juliana Alvares, 2018. "Quality of Life of Patients with Type 1 Diabetes Mellitus Using Insulin Analog Glargine Compared with NPH Insulin: A Systematic Review and Policy Implications," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 11(4), pages 377-389, August.

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