COST-EFFECTIVE ANALYSIS IN TREATING DIABETES MELLITUS WITH COMORBIDITY

  • MINA JAFARNIA Department of Pharmacy Practice, GIET School of Pharmacy, Andhra Pradesh, India.
  • DEEPIKA DR Department of Pharmacy Practice, GIET School of Pharmacy, Andhra Pradesh, India.
  • FARZANEH RAVESHI Department of Pharmacy Practice, GIET School of Pharmacy, Andhra Pradesh, India.
  • JOHN KIRUBAKARN J Department of Pharmacy Practice, GIET School of Pharmacy, Andhra Pradesh, India.

Abstract

Objective: The main objective of this study is to sort out the most common prescription patterns and their cost-effective analysis (CEA).


Methods: A prospective study design is followed to collect the data. Based on the percentage, the first three comorbidities which occupy a major part of the sample are taken into consideration. The top two used prescriptions for each comorbidity are selected and CEA is performed for those.


Results: Diabetes mellitus (DM) with hypertension (HTN) comprise the majority of the sample (37%). Two majorly used prescription patterns are sorted out and CEA is performed which revealed that prescription pattern A is more cost effective than prescription pattern B. Second major part of the sample is occupied by only cases with DM (21%) which is excluded as it does not have any commodities. After only DM, DM + infections occupy a major part (8%). Two majorly used prescription patterns are sorted out and CEA is performed which revealed that prescription pattern A is more therapeutically effective than prescription pattern B but not cost effective. The 3rd major comorbidity is DM + CVA (8%). In this case, the results demonstrated that prescription pattern A is more cost effective than prescription pattern B.


Conclusion: The major commodities of DM are HTN, infections, and coronary artery disease. The cost-effectiveness evaluation revealed that physicians are only considering the therapeutic efficacy as a major concern but not the economic burden. This study concludes the importance of considering the financial burden with relationship to their respective therapeutic efficacy provided by an individual prescription.

Keywords: Cost-effectiveness, Diabetic comorbidity, Net monetary benefits, Incremental cost-effectiveness ratio

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JAFARNIA, M., D. DR, F. RAVESHI, and J. KIRUBAKARN J. “COST-EFFECTIVE ANALYSIS IN TREATING DIABETES MELLITUS WITH COMORBIDITY”. Asian Journal of Pharmaceutical and Clinical Research, Vol. 13, no. 5, Mar. 2020, pp. 126-30, doi:10.22159/ajpcr.2020.v13i5.36962.
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