BACKGROUND: Management of heart failure is estimated to consume between 1% and 2% of total healthcare resources with hospital admissions accounting for up to 70% of this. The ability of the aldosterone antagonist spironolactone to reduce hospital admission rates by 35% would be expected to prove cost-effective. AIM: To determine the cost-effectiveness of spironolactone when added to standard therapy in patients with severe chronic heart failure. METHODS: A Markov model of chronic heart failure was constructed using Treeage software. Irish cost data were incorporated into the model. RESULTS: The incremental cost-effectiveness ratio (ICER) for spironolactone therapy was Euro 466 per life year gained (LYG). Sensitivity analysis demonstrated an ICER range of Euro 75 to Euro 1,136 per LYG. CONCLUSION: This economic evaluation suggests that the addition of spironolactone to standard therapy for patients with severe chronic heart failure is not only safe and effective, but is highly cost-effective in the Irish healthcare setting.
BACKGROUND: Management of heart failure is estimated to consume between 1% and 2% of total healthcare resources with hospital admissions accounting for up to 70% of this. The ability of the aldosterone antagonist spironolactone to reduce hospital admission rates by 35% would be expected to prove cost-effective. AIM: To determine the cost-effectiveness of spironolactone when added to standard therapy in patients with severe chronic heart failure. METHODS: A Markov model of chronic heart failure was constructed using Treeage software. Irish cost data were incorporated into the model. RESULTS: The incremental cost-effectiveness ratio (ICER) for spironolactone therapy was Euro 466 per life year gained (LYG). Sensitivity analysis demonstrated an ICER range of Euro 75 to Euro 1,136 per LYG. CONCLUSION: This economic evaluation suggests that the addition of spironolactone to standard therapy for patients with severe chronic heart failure is not only safe and effective, but is highly cost-effective in the Irish healthcare setting.
Authors: J McMurray; A Cohen-Solal; R Dietz; E Eichhorn; L Erhardt; R Hobbs; A Maggioni; I Pina; J Soler-Soler; K Swedberg Journal: Eur J Heart Fail Date: 2001-08 Impact factor: 15.534
Authors: Alexander Goehler; Benjamin P Geisler; Jennifer M Manne; Beate Jahn; Annette Conrads-Frank; Petra Schnell-Inderst; G Scott Gazelle; Uwe Siebert Journal: Pharmacoeconomics Date: 2011-09 Impact factor: 4.981
Authors: Gian Luca Di Tanna; Anna Bychenkova; Frank O'Neill; Heidi S Wirtz; Paul Miller; Briain Ó Hartaigh; Gary Globe Journal: Pharmacoeconomics Date: 2019-03 Impact factor: 4.981