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Costo-efectividad de los medios de contraste ISO e hiposmolares en pacientes con riesgo elevado
[Cost-Effectiveness of high- and low-osmolality contrast media in patients with high risk of contrast induced nephropathy]

Author

Listed:
  • Liliana Chicaíza
  • Mario García
  • Oscar Gamboa

Abstract

Contrast media induced nephropathy is a common cause of kidney failure in hospitalized patients. It has been suggested that high-osmolality contrast media caused less nephropathies than low-osmolality ones. The cost-effectiveness of High- (Iodixanol) and Low- osmolality (Iohexol, Iopamidol and others) contrast media are compared by means of a decision tree. The analysis showed that Iopamidol and Iodixanol strategies dominated all the others. The incremental cost-effectiveness ratio of Iodixanol compared to Iopamidol is $31.637.306 per adicional avoided nephropathy. Iodixanol strategy is cost-effective for a budget per patient higher than $980.000, or 50 ml vial cost lower than $57.000, or willingness to pay per nephropathy avoided higher than $32.000.000.

Suggested Citation

  • Liliana Chicaíza & Mario García & Oscar Gamboa, 2011. "Costo-efectividad de los medios de contraste ISO e hiposmolares en pacientes con riesgo elevado [Cost-Effectiveness of high- and low-osmolality contrast media in patients with high risk of contrast induced nephropathy]," Econógrafos, Escuela de Economía 022902, Universidad Nacional de Colombia, FCE, CID.
    • Handle: RePEc:col:000176:022902
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    JEL classification:

    • D61 - Microeconomics - - Welfare Economics - - - Allocative Efficiency; Cost-Benefit Analysis
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets

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