Análisis coste-efectividad de olanzapina frente a haloperidol en el tratamiento de la esquizofrenia en España

J. A. Sacristán, J. C. Gómez, L. Salvador-Carulla

Research output: Contribution to journalArticlepeer-review

15 Citations (Scopus)

Abstract

Background: Cost-effectiveness of olanzapine in comparison with haloperidol, in Spanish schizophrenic patients, was analysed using a clinical decision model. Methods: The model represents a simulation of the different clinical and therapeutic possibilities that an hypothetical cohort of patients could experienced in a 5-years period of treatment. Efficacy was measured as months with partial-complete remission. Most information was obtained from the HGAJ randomised clinical trial. Other information was estimated through literature reviews and the opinion of an expert panel. Results: Average cost-effectiveness for olanzapine was lower (116,476 pesetas per month with partial-complete remission) than for haloperidol (134,762 pesetas per month with partial-complete remission). Olanzapine produced more than half year (6.7 months) with partial-complete remission, in comparison with haloperidol, with an incrementar cost-effectiveness of 32,516 pesetas per month with partial-complete remission, in comparison with haloperidol. The results were not sensitive to changes in the values of the main variables used in the analysis. Conclusions: According to this analysis, olanzapine presents a good cost-effectiveness relationship in comparison with haloperidol, in Spanish schizophrenic patients. The analysis will be completen when new studies comparing olanzapine with other antipsychotics are available.

Original languageSpanish
Pages (from-to)225-234
Number of pages10
JournalActas Espanolas de Psiquiatria
Volume25
Issue number4
Publication statusPublished - Jul 1997
Externally publishedYes

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