Cost-Minimization Analysis of Deep-Brain Stimulation Using National Database of Japanese Health Insurance Claims

被引：8

作者：

Akazawa, Manabu ^{[1
]}

Konomura, Keiko ^{[1
,2
]}

Shiroiwa, Takeru ^{[2
]}

机构：

[1] Meiji Pharmaceut Univ, Dept Publ Hlth & Epidemiol, 2-522-1 Noshio, Tokyo 2048588, Japan

[2] Natl Inst Publ Hlth, Dept Hlth & Welf Serv, Wako, Saitama, Japan

来源：

NEUROMODULATION | 2018年 / 21卷 / 06期

基金：

日本学术振兴会;

关键词：

Cost-minimization analysis; deep brain stimulation; health technology assessment; national insurance claims; ADVANCED PARKINSONS-DISEASE; PATIENT SATISFACTION; PULSE GENERATORS; MEDICAL THERAPY;

D O I：

10.1111/ner.12782

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

Objectives: A new rechargeable dual-channel deep brain stimulation (DBS) system has been introduced for the treatment of Parkinson's disease and other movement disorders. However, the clinical value of the device, which has a high cost, remains unclear. Materials and Methods: We conducted a cost-minimization analysis using a national database of health insurance claims in Japan. DBS-related costs were compared between rechargeable and non-rechargeable devices and estimated across a 20-year period. Results: Although the price of rechargeable DBS was higher than that of non-rechargeable DBS, we observed total cost-savings of 8.4 million yen across 20 years by considering costs related to implantation surgery, frequency of replacement, and risk of complications. Conclusions: In this study, real-world evidence indicated that rechargeable dual-channel DBS is a reasonable choice for saving total medical costs. Price revisions should consider cost-effectiveness findings for medical devices.

引用

页码：548 / 552

页数：5

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