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Costo-efectividad de realizar plasmaféresis previa a timectomía abierta en el tratamiento de la miastenia gravis

Author

Listed:
  • Liliana Chicaíza
  • Mario García Molina
  • Oscar Gamboa
  • Carlos Castañeda Orjuela

Abstract

Cost-effectiveness of plasmapheresis prior to open thymectomy vs. open thymectomy alone is assessed by means of a Markov model. The perspective is that of the payer, including all direct costs. Data on effectiveness and complication risks were obtained from the literature. Deterministic and probabilistic analyses were performed. The threshold was the per capita GDP per LYG and a 3% discount was applied. Thymectomy is cost-effective but the results are not robust. Adding plasmapheresis becomes cost-effective for a threshold higher than Col $23.276.045 (more than twice the per capita GDP), when no discount is applied, and in 42% of the simulations.

Suggested Citation

  • Liliana Chicaíza & Mario García Molina & Oscar Gamboa & Carlos Castañeda Orjuela, 2011. "Costo-efectividad de realizar plasmaféresis previa a timectomía abierta en el tratamiento de la miastenia gravis," Econógrafos, Escuela de Economía 022975, Universidad Nacional de Colombia, FCE, CID.
    • Handle: RePEc:col:000176:022975
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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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