Cost-effectiveness of the utilization of “good practice” or the lack thereof according to a bronchiolitis evidence-based clinical practice guideline

Cargando...
Miniatura

Fecha

2019

Título de la revista

Publicado en

Journal of evaluation in clinical practice, 1356-1294, Vol. 25, Nro. 4, 2019, p. 682-688

Publicado por

Wiley-Blackwell

ISSN de la revista

Título del volumen

Resumen

Descripción

Abstract

Rationale, aims, and objectives The aim of the present study was to determine the cost‐effectiveness of the utilization of “good practice” according to a bronchiolitis clinical practice guideline (CPG) in a population of infants hospitalized for acute bronchiolitis. Method A decision‐analysis model was developed in order to estimate the cost‐effectiveness of the utilization of “good practice” compared with the lack of use of “good practice” according to a bronchiolitis evidence‐based CPG. The effectiveness parameters and costs of the model were obtained from electronic medical records. The main outcome was the readmission of the patients within 10 days of post discharge. Results Compared with lack of “good practice,” the utilization of “good practice” in the diagnosis and management of patients with bronchiolitis was associated with both fewer patients readmitted within 10 days of post discharge (0.88 vs 0.99 on average per patient) and lower costs (US$1529.3 versus $1709.1 average cost per patient), thus leading to dominance. Results were robust to deterministic and probabilistic sensitivity analyses. Conclusions Compared with lack of “good practice,” the utilization of “good practice” in the diagnosis and management of acute bronchiolitis according to a bronchiolitis CPG is a dominant strategy because it involves both fewer patients readmitted within 10 days of post discharge and lower costs.

Palabras clave

Keywords

Temáticas

Análisis Costo-Eficiencia
Guía de práctica clínica
Bronquiolitis

Citación

Colecciones