COST-EFFECTIVENESS ANALYSIS OF ESOMEPRAZOLE COMPARED TO PANTOPRAZOLE IN GASTROESOPHAGEAL REFLUX DISEASE PATIENT WITH EROSIVE OESOPHAGITIS IN VIETNAM
Main Article Content
Abstract
Objectives: Cost-effectiveness analysis of esomeprazole compared to pantoprazole in Gastroesophageal reflux disease (GERD) patient with erosive oesophagitis in Vietnam. Research methods: A decision tree model was employed to assess the associated cost and effectiveness of two PPI drugs esomeprazole and pantoprazole from the payer perspective. Input parameters were extracted from empirical datas of publicized multi-centre and meta-analysis studies. Results were expressed as incremental cost-effectiveness ratio (ICER), results of one-way sensitivity analysis and probabilistic sensitivity analysis. Results: Compared to pantoprazole, the incremental cost-effectiveness ratio (ICER) for esomeprazole was 44574294 VND/QALY, with relatively 0.0016 QALYs gained and an additional cost of 72075.9 VND. Utility value of healed and unhealed group, the unit cost of esomeprazole and pantoprazole are the factors that strongly influence the ICER value. Conclusion: From the payer perspective and compared to WTP recommended by WHO, esomeprazole is cost-effective relative to pantoprazole in the treatment of GERD with erosive oesophagitis in Vietnam.
Article Details
Keywords
Esomeprazole, Pantoprazole, GERD with erosive oesophagitis, Cost-effectiveness, Vietnam
References
2. Fock KM, Talley NJ, Fass R, Goh KL, Katelaris P, Hunt R, et al. Asia-Pacific consensus on the management of gastroesophageal reflux disease: update. J Gastroenterol Hepatol. 2008;23(1):8–22.
3. Hatlebakk JG. Review article: gastric acidity − comparison of esomeprazole with other proton pump inhibitors. Aliment Pharmacol Ther. 2003; 17(1):10–5.
4. Miehlke S, Madisch A, Kirsch C, Lindner F, Kuhlisch E, Laass M, et al. Intragastric acidity during treatment with esomeprazole 40 mg twice daily or pantoprazole 40 mg twice daily--a randomized, two-way crossover study. Aliment Pharmacol Ther. 2005;21(8):963–7.
5. Yokoya Y, Igarashi A, Uda A, Deguchi H, Takeuchi T, Higuchi K. Cost-utility analysis of a “vonoprazan-first” strategy versus “esomeprazole- or rabeprazole-first” strategy in GERD. J Gastroenterol. 2019;54(12):1083–95.
6. Labenz J, Armstrong D, Lauritsen K, Katelaris P, Schmidt S, Schütze K, et al. A randomized comparative study of esomeprazole 40 mg versus pantoprazole 40 mg for healing erosive oesophagitis: the EXPO study. Aliment Pharmacol Ther. 2005;21(6):739–46.
7. Chiba N, De Gara CJ, Wilkinson JM, Hunt RH. Speed of healing and symptom relief in grade II to IV gastroesophageal reflux disease: a meta-analysis. Gastroenterology. 1997;112(6):1798–810.
8. Wójcik P, Chudziak D, Macioch T, Niewada M. Cost-Effectiveness of Esomeprazole Compared With Other Ppis Currently Reimbursed In Poland In The Treatment of Gerd. Value Heal. 2015; 18(7): A625–6.
9. Wahlqvist P, Dl V, Sd S, Gm D, Jacobs M, Gj L, et al. Esomeprazole Is Cost-Effective Compared With Pantoprazole In The Acute And Maintenance Treatment Of Reflux Esophagitis In Finland. Value Heal. 2005;8:A120.