REMOTE THERAPY MANAGEMENT OF PATIENTS ON AUTOMATED PERITONEAL DIALYSIS DEMONSTRATES COST SAVINGS IN GERMANY AND ITALY
Author(s)
Makhija D1, McLeod K2, Sloand JA1, Gellens ME1, Alscher MD3, Becker S4, D’Alonzo S5
1Baxter Healthcare Corporation, Deerfield, IL, USA, 2Xcenda LLC, Palm Harbor, FL, USA, 3Robert-Bosch Hospital, Stuttgart, Germany, 4University Hospital Essen, Essen, Germany, 5Catholic University of the Sacred Heart, Rome, Italy
OBJECTIVES: To estimate the cost-consequences of avoiding healthcare resource utilization by using a two-way data exchange platform with remote therapy management (RTM) capabilities in automated peritoneal dialysis (APD) patients in a simulated environment in Germany and Italy. METHODS: RESULTS: Summary results based on the Monte-Carlo simulation demonstrated that the use of RTM could avoid a total of 49.7±5.6, and 16.0±2.5 resources in Germany and Italy, respectively. Total healthcare resources avoided represented 10,460€±$3561€ and 5,886±$458€ in savings across the 12 patient profiles in Germany and Italy, respectively from a healthcare payer perspective. Savings were highest for avoided hospitalizations (9,724€ in Germany and 4,443€ in Italy). Opportunity costs for providers resulting mainly from avoidance of unplanned clinic visits clinic calls would total 352€±40€ and 546€±55€ in Germany and Italy, respectively. The 12 profiles were estimated to be representative of 15.4% to 32.6% of the APD patients in Germany and Italy. CONCLUSIONS: In a simulation, RTM saved healthcare resources in APD patients by enabling earlier medical intervention, avoiding complications and treatment drop-out.
Conference/Value in Health Info
2017-11, ISPOR Europe 2017, Glasgow, Scotland
Value in Health, Vol. 20, No. 9 (October 2017)
Code
PMD53
Topic
Economic Evaluation
Topic Subcategory
Cost-comparison, Effectiveness, Utility, Benefit Analysis
Disease
Urinary/Kidney Disorders