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Cost-effectiveness of prucalopride in the treatment of chronic constipation in the Netherlands

Overview of attention for article published in Frontiers in Pharmacology, April 2015
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Title
Cost-effectiveness of prucalopride in the treatment of chronic constipation in the Netherlands
Published in
Frontiers in Pharmacology, April 2015
DOI 10.3389/fphar.2015.00067
Pubmed ID
Authors

Mark J. C. Nuijten, Dominique J. Dubois, Alain Joseph, Lieven Annemans

Abstract

To assess the cost-effectiveness of prucalopride vs. continued laxative treatment for chronic constipation in patients in the Netherlands in whom laxatives have failed to provide adequate relief. A Markov model was developed to estimate the cost-effectiveness of prucalopride in patients with chronic constipation receiving standard laxative treatment from the perspective of Dutch payers in 2011. Data sources included published prucalopride clinical trials, published Dutch price/tariff lists, and national population statistics. The model simulated the clinical and economic outcomes associated with prucalopride vs. standard treatment and had a cycle length of 1 month and a follow-up time of 1 year. Response to treatment was defined as the proportion of patients who achieved "normal bowel function". One-way and probabilistic sensitivity analyses were conducted to test the robustness of the base case. In the base case analysis, the cost of prucalopride relative to continued laxative treatment was € 9015 per quality-adjusted life-year (QALY). Extensive sensitivity analyses and scenario analyses confirmed that the base case cost-effectiveness estimate was robust. One-way sensitivity analyses showed that the model was most sensitive in response to prucalopride; incremental cost-effectiveness ratios ranged from € 6475 to 15,380 per QALY. Probabilistic sensitivity analyses indicated that there is a greater than 80% probability that prucalopride would be cost-effective compared with continued standard treatment, assuming a willingness-to-pay threshold of € 20,000 per QALY from a Dutch societal perspective. A scenario analysis was performed for women only, which resulted in a cost-effectiveness ratio of € 7773 per QALY. Prucalopride was cost-effective in a Dutch patient population, as well as in a women-only subgroup, who had chronic constipation and who obtained inadequate relief from laxatives.

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Mendeley readers

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Geographical breakdown

Country Count As %
Unknown 25 100%

Demographic breakdown

Readers by professional status Count As %
Unspecified 9 36%
Researcher 5 20%
Student > Postgraduate 2 8%
Student > Master 2 8%
Lecturer 1 4%
Other 4 16%
Unknown 2 8%
Readers by discipline Count As %
Unspecified 9 36%
Medicine and Dentistry 6 24%
Pharmacology, Toxicology and Pharmaceutical Science 2 8%
Economics, Econometrics and Finance 2 8%
Agricultural and Biological Sciences 1 4%
Other 2 8%
Unknown 3 12%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 14 April 2015.
All research outputs
#20,268,102
of 22,799,071 outputs
Outputs from Frontiers in Pharmacology
#10,033
of 16,017 outputs
Outputs of similar age
#223,458
of 264,369 outputs
Outputs of similar age from Frontiers in Pharmacology
#72
of 81 outputs
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We're also able to compare this research output to 81 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.