Cost-effectiveness of the utilization of “good practice” or the lack thereof according to a bronchiolitis evidence-based clinical practice guideline
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Fecha
2019
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Journal of evaluation in clinical practice, 1356-1294, Vol. 25, Nro. 4, 2019, p. 682-688
Publicado por
Wiley-Blackwell
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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.
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Keywords
Temáticas
Análisis Costo-Eficiencia
Guía de práctica clínica
Bronquiolitis
Guía de práctica clínica
Bronquiolitis