한국임상약학회지 (Korean Journal of Clinical Pharmacy)

  • 제20권3호
  • /
  • Pages.268-277
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  • 2010
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  • 1226-6051(pISSN)
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  • 2508-786X(eISSN)
한국임상약학회 (Korean College Of Clinical Pharmacy)
권호 표지

설사형 과민성 장 증후군 남성 환자에게 사용되는 ramosetron 의 경제성 평가

Economic Evaluation of Ramosetron in Male Patients with Diarrhea-predominant Irritable Bowel Syndrome in Korea

  • 손현순 (숙명여자대학교 약학대학) ;
  • 이태진 (서울대학교 보건대학원) ;
  • 김선 (서울대학교 보건대학원)
  • Sohn, Hyun-Soon (College of Pharmacy, Sookmyung Women's University) ;
  • Lee, Tae-Jin (School of Public Health, Seoul National University) ;
  • Kim, Sun (School of Public Health, Seoul National University)
  • 투고 : 2010.09.27
  • 심사 : 2010.11.11
  • 발행 : 2010.12.31
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초록

This study was conducted to analyze the cost-utility of ramosetron monotherapy, trimebutine monotherapy and trimebutine+loperamide combination therapy in male diarrhea-predominant patients with irritable bowel syndrome (IBS) in Korean healthcare setting. We constructed a decision-analytical model to estimate both total costs for each state of health and outcomes such as IBS-symptoms improvement for 3 and 6 months time horizon. Base analysis found that for ramosetron treatment with the price of KW910 for 5 ${\mu}g$ tablet, incremental cost effectiveness ratios (ICERs, cost per quality-adjusted life day) were KW85,000 and KW62,000 for 3 months and 6 months, respectively, compared with trimebutine. But ramosetron was a dominant strategy when compared with trimebutine+loperamide for both 3 months and 6 months. Sensitivity analyses showed robust results for drug acquisition costs till ramosetron price of KW950/tablet. In conclusion, ramosetron was a cost-effective regimen compared with trimebutine or trimebutine+loperamide from the societal perspective.

키워드

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