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This study is an economic evaluation of Symbicort (Budesonide/formoterol) as maintenance and reliever therapy (SMART) versus its competitive alternatives.
The aims of this study are:
To estimate the relative effectiveness of each one of the alternatives in the management of patients with moderate to severe asthma through a systematic review for the following outcomes:
To estimate the direct medical costs of treating with each pharmacologic alternative: Symbicort as SMART versus increased use of inhaled corticosteroids or Adding long-acting inhaled beta 2 agonist plus inhaled corticosteroids.
To create a decision analysis model (decision tree) that allows comparisons between the alternatives on expected values and costs.
To calculate the average and incremental cost-effectiveness ratios.
To carry out a sensitivity analysis to test de robustness of the cost-effectiveness results allowing for reasonable changes in expected values and costs.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Adult patients 18-65 years with moderate to severe uncontrolled asthma |
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| Measure | Description | Time Frame |
|---|---|---|
| Estimate incremental cost-effectiveness ratio using Symbicort as Maintenance and Reliever Therapy in the pharmacologic management of patients when compared with competitive alternatives | 12 months | |
| Incremental cost-effectiveness ratio from using Symbicort as symbicort as Maintenance and Reliever Therapy when compared with its competitive alternatives | 12 Months |
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Inclusion Criteria:
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Primary care
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| Name | Affiliation | Role |
|---|---|---|
| Rodolfo Dennis, M.D. | Pontificia Universidad Javeriana | Study Director |
| MARÍA XIMENA ROJAS, M.D. | Pontificia Universidad Javeriana | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Research Site | Bogotá | Colombia |
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| ID | Term |
|---|---|
| D001249 | Asthma |
| ID | Term |
|---|---|
| D001982 | Bronchial Diseases |
| D012140 | Respiratory Tract Diseases |
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
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| D012130 |
| Respiratory Hypersensitivity |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |