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ABSTRACT: Introduction
Real-world evidence has demonstrated improved glycemic control and insulin management following introduction of smart insulin pens in a Swedish type 1 diabetes (T1D) population. To understand the implications for healthcare costs and expected health outcomes, this analysis evaluated the long-term cost-effectiveness of introducing smart insulin pens to standard-of-care T1D treatment (standard care) from a Swedish societal perspective.Methods
Clinical outcomes and healthcare costs (in 2018 Swedish krona, SEK) were projected over patients' lifetimes using the IQVIA CORE Diabetes Model to estimate cost-effectiveness. Clinical data and baseline characteristics for the simulated cohort were informed by population data and a prospective, noninterventional study of a smart insulin pen in a Swedish T1D population. This analysis captured direct and indirect costs, mortality, and the impact of diabetes-related complications on quality of life.Results
Over patients' lifetimes, smart insulin pen use was associated with per-patient improvements in mean discounted life expectancy (+?0.90 years) and quality-adjusted life expectancy (+?1.15 quality-adjusted life-years), in addition to mean cost savings (direct, SEK 124,270; indirect, SEK 373,725), versus standard care. A lower frequency and delayed onset of complications drove projected improvements in quality-adjusted life expectancy and lower costs with smart insulin pens versus standard care. Overall, smart insulin pens were a dominant treatment option relative to standard care across all base-case and sensitivity analyses.Conclusions
Use of smart insulin pens was projected to improve clinical outcomes at lower costs relative to standard care in a Swedish T1D population and represents a good use of healthcare resources in Sweden.
SUBMITTER: Jendle J
PROVIDER: S-EPMC7843677 | biostudies-literature | 2021 Jan
REPOSITORIES: biostudies-literature
Jendle Johan J Ericsson Åsa Å Gundgaard Jens J Møller Jonas Bech JB Valentine William J WJ Hunt Barnaby B
Diabetes therapy : research, treatment and education of diabetes and related disorders 20201211 1
<h4>Introduction</h4>Real-world evidence has demonstrated improved glycemic control and insulin management following introduction of smart insulin pens in a Swedish type 1 diabetes (T1D) population. To understand the implications for healthcare costs and expected health outcomes, this analysis evaluated the long-term cost-effectiveness of introducing smart insulin pens to standard-of-care T1D treatment (standard care) from a Swedish societal perspective.<h4>Methods</h4>Clinical outcomes and heal ...[more]