Nihon Shoni Arerugi Gakkaishi. The Japanese Journal of Pediatric Allergy and Clinical Immunology
Online ISSN : 1882-2738
Print ISSN : 0914-2649
ISSN-L : 0914-2649
HEALTH ECONOMIC EVALUATION OF FLUTICASONE PROPIONATE FOR JAPANESE CHILDREN WITH ASTHMA
Sankei NishimaToshikazu NagakuraHiroshi SuguroMakoto ShiragamiTerumasa Miyamoto
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2006 Volume 20 Issue 5 Pages 485-496

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Abstract
Background: To discuss and estimate the economic benefits gained by fluticasone propionate (FP) for asthmatic children over hospitalization, emergency room visit, unscheduled visit, and absence (representative by asthma-related episode).
Method: Data on asthma-related episodes in pre and post 6 months of FP use were derived from a survey of FP on asthma-related episodes. Medical cost was evaluated by using macro-cost estimate approach.
Results: Discussion of asthma-related episodes in-between before and after the use of FP in one hundred seventy-nine valuable subjects revealed that FP use significantly reduced asthma-related episodic costs of approximately 57,000 yen per 6 months (p<0.001), whereas total drug acquisition costs were significantly increased by approximately 4,000 yen per 6 months (p<0.05). When sensitivity analyses were performed, the aforementioned cost-saving results might be robust.
Conclusion: The economic evaluation of FP demonstrated that it is sufficient, whereas an acquisition cost was increased.
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© 2006 Japanese Society of Pediatric Allergy and Clinical Immunology
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