Costo-efectividad de realizar plasmaféresis previa a timectomía abierta en el tratamiento de la miastenia gravis

Liliana Chicaíza, Mario García Molina, Oscar Gamboa and Carlos Castañeda Orjuela

Econógrafos, Escuela de Economía from Universidad Nacional de Colombia, FCE, CID

Abstract: Cost-effectiveness of plasmapheresis prior to open thymectomy vs. open thymectomy alone is assessed by means of a Markov model. The perspective is that of the payer, including all direct costs. Data on effectiveness and complication risks were obtained from the literature. Deterministic and probabilistic analyses were performed. The threshold was the per capita GDP per LYG and a 3% discount was applied. Thymectomy is cost-effective but the results are not robust. Adding plasmapheresis becomes cost-effective for a threshold higher than Col $23.276.045 (more than twice the per capita GDP), when no discount is applied, and in 42% of the simulations.

Keywords: Cost-benefit analysis; Plasmapheresis; Thymectomy; Health economics (search for similar items in EconPapers)
JEL-codes: D61 I11 (search for similar items in EconPapers)
Pages: 13
Date: 2011
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Persistent link: https://EconPapers.repec.org/RePEc:col:000176:022975

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