摘要
背景:最近的试验表明,针对阿尔茨海默氏病的疾病改良疗法(DMT)可能很快就会面世。由于预期的高价和庞大的患者群体,预算影响将是巨大的。 目标:我们探讨了DMT具有成本效益的有效性和价格的组合。 方法:我们使用开源模型对付款人和社会观点,价格变动和治疗效果大小同时进行双向情景分析。该分析为美国65岁以上因阿尔茨海默氏病引起的轻度认知障碍的DMT有效性潜在范围内的成本效益阈值定价。 结果:在每个质量调整生命年的支付意愿门槛为150,000美元,并假设相对于护理标准降低了30%的风险,每位患者每年DMT的最高成本效益价格约为22,000美元,且从社会和付款人的角度来看分别为15,000美元。 结论:价格和治疗效果大小的共同变化可以帮助评估潜在的阿尔茨海默氏病治疗的成本效益。
关键词: 阿尔茨海默氏病,痴呆,轻度认知障碍,成本效益分析,定价,药物开发,疾病缓解疗法。
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