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Pablo Harker

Hoover Quitian-Reyes

Oscar Hernando Feo-Lee

Nicolas Iragorri

Juan Carlos Puentes

Resumen

Introducción. Existe controversia alrededor del major tratamiento de UA. Por tanto, realizamos un análisis de costo-efectividad comparando las alternativas de tratamiento desde un punto de vista económico.
Métodos. Se construyó un modelo de árbol de decisions basado en una cohort hipotética. Los desenlaces y análisis de costo se modelaron con horizonte temporal de fin de vida. Todas las probabilidades de desenlace se obtuvieron de grandes estudios previamente publicados. Los costos se evaluaron desde la perspectiva del SGSSS en Colombia. Se realize un análisis univariado para evaluar el impacto de los resultados.
Resultados. Se encontraron diferencias significativas en el costo del tratamiento y la efectividad total. El clipaje tuvo un costo promedio de US$2,322 y una relación de costo-efectividad de US$2,735 (US$4,650 y US$5,798 para EC). El análisis univariado mostró que la costo-efectividad del clipaje fue dominantemente superior.
Conclusiones. Desde un punto de vista económico, el clipaje es la alternativa más costo-efectiva en una economía de ingreso medio. Estos resultados deben ser tenidos en cuenta en el proceso de decision, especialmente en países donde las medidas de costo-efectividad son críticas. Sin embargo, se requieren estudios adicionales en diferentes sistemas de salud a nivel mundial.

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References
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Cómo citar
Harker, P., Quitian-Reyes, H., Feo-Lee, O., Iragorri, N., & Puentes, J. (2019). Análisis de costo-efectividad en el tratamiento de aneurismas de circulación cerebral anterior en una economía de ingreso medio. Universitas Médica, 61(1). https://doi.org/10.11144/Javeriana.umed61-1.cost
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