BUDGET IMPACT ANALYSIS OF DRUG COATED BALLOON VS. PERCUTANEOUS TRANSLUMINAL BALLOON ANGIOPLASTY IN THE TREATMENT OF PERIPHERAL ARTERIAL DISEASE IN LOWER LIMBS IN BRAZIL
Author(s)
Pepe C1, Fahham L2, Follador W3, Valencia J4, Orozco JJ5
1Grupo Resulta, São Paulo, Brazil, 2Sense Company, São Paulo, Brazil, 3Medtronic, São Paulo, Brazil, 4Medtronic, Miami, FL, USA, 5Medtronic, Medellin, Colombia
OBJECTIVES: Budget Impact analysis (BIA) of Drug Coated Balloon (DCB) vs. Percutaneous Transluminal Balloon Angioplasty (PTA) in the treatment of Peripheral Arterial Disease in lower limbs in Brazil. METHODS: A BIA was performed to assess the incremental budget impact of the incorporation, to the Brazilian public healthcare system, of a method of PTA using a drug coated balloon compared to the currently available technology, using an standard balloon, on the treatment of the peripheral arterial disease, in a 5 years’ time horizon. The total amount of PTA procedures on the system was extracted from DATASUS, a nation-wide, anonymous, public healthcare claims database, between 2008 and 2013. Based on this data, the eligible population was projected linearly for the years between 2014 and 2019. Total costs (angioplasty plus surgical revascularization in case of a TLR) per procedure were based on an analytic decision model (R$ 4,415.70 (DCB); R$ 3,720.03 (PTA)). It was assumed that, after the incorporation, all patients eligible to a PTA will undergo the procedure using a DCB instead of the standard balloon. RESULTS: The DCB incorporation showed an impact of R$ 1.9 million on the first year (2015) and reached a total amount of R$ 11.8 million in 5 years. The projected impact for the year of 2015 (R$ 1.9 million) represents less than 0.01% of the budget destined to hospital and ambulatory assistance. CONCLUSIONS: The incorporation of DCB for the treatment of Peripheral Arterial Disease in Lower Limbs in the Brazilian public healthcare system has low budget impact and it would represent less than 0.01% of the budget destined to hospital and ambulatory assistance.
Conference/Value in Health Info
2015-09, ISPOR Latin America 2015, Santiago, Chile
Value in Health, Vol. 18, No. 7 (November 2015)
Code
PMD6
Topic
Economic Evaluation
Topic Subcategory
Budget Impact Analysis
Disease
Cardiovascular Disorders