Efficiency of the use of long-acting reversible contraception: a systematic review of the literature

Objectives To develop a systematic review of economic evaluations on the use of long-acting reversible contraceptives (LARC). Methods A systematic review of scientific literature was carried out in Pubmed, Chochrane and Google Scholar databases. Economic evaluations and systematic reviews of the lit...

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Autores:
Gomez de la Rosa, F
Alvis Zakzuk, J
Alvis Guzman, N
Moreno, DJ
Rincon, M
Vargas, JC
Edna Estrada, F
Urrego, M
Rubio, ML
Alvarez Mesa, C
Tolosa, J
Tipo de recurso:
Article of journal
Fecha de publicación:
2018
Institución:
Corporación Universidad de la Costa
Repositorio:
REDICUC - Repositorio CUC
Idioma:
eng
OAI Identifier:
oai:repositorio.cuc.edu.co:11323/4705
Acceso en línea:
https://hdl.handle.net/11323/4705
https://repositorio.cuc.edu.co/
Palabra clave:
Revisión sistemática
Evaluaciones económicas
Anticonceptivos reversibles de acción prolongada
Systematic review
Economic evaluations
Long-acting reversible contraceptives.
Rights
openAccess
License
Attribution-NonCommercial-ShareAlike 4.0 International
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dc.title.spa.fl_str_mv Efficiency of the use of long-acting reversible contraception: a systematic review of the literature
dc.title.translated.spa.fl_str_mv Eficiencia del uso de anticonceptivos reversibles de acción prolongada: una revisión sistemática de la literatura
title Efficiency of the use of long-acting reversible contraception: a systematic review of the literature
spellingShingle Efficiency of the use of long-acting reversible contraception: a systematic review of the literature
Revisión sistemática
Evaluaciones económicas
Anticonceptivos reversibles de acción prolongada
Systematic review
Economic evaluations
Long-acting reversible contraceptives.
title_short Efficiency of the use of long-acting reversible contraception: a systematic review of the literature
title_full Efficiency of the use of long-acting reversible contraception: a systematic review of the literature
title_fullStr Efficiency of the use of long-acting reversible contraception: a systematic review of the literature
title_full_unstemmed Efficiency of the use of long-acting reversible contraception: a systematic review of the literature
title_sort Efficiency of the use of long-acting reversible contraception: a systematic review of the literature
dc.creator.fl_str_mv Gomez de la Rosa, F
Alvis Zakzuk, J
Alvis Guzman, N
Moreno, DJ
Rincon, M
Vargas, JC
Edna Estrada, F
Urrego, M
Rubio, ML
Alvarez Mesa, C
Tolosa, J
dc.contributor.author.spa.fl_str_mv Gomez de la Rosa, F
Alvis Zakzuk, J
Alvis Guzman, N
Moreno, DJ
Rincon, M
Vargas, JC
Edna Estrada, F
Urrego, M
Rubio, ML
Alvarez Mesa, C
Tolosa, J
dc.subject.spa.fl_str_mv Revisión sistemática
Evaluaciones económicas
Anticonceptivos reversibles de acción prolongada
Systematic review
Economic evaluations
Long-acting reversible contraceptives.
topic Revisión sistemática
Evaluaciones económicas
Anticonceptivos reversibles de acción prolongada
Systematic review
Economic evaluations
Long-acting reversible contraceptives.
description Objectives To develop a systematic review of economic evaluations on the use of long-acting reversible contraceptives (LARC). Methods A systematic review of scientific literature was carried out in Pubmed, Chochrane and Google Scholar databases. Economic evaluations and systematic reviews of the literature that included long-acting contraception methods (LARC) as intervention technology were included. The review was made in English and Spanish. No publication date restriction were applied on the selected studies. Quality assessment was developed using the CHEERS verification list (Consolidated Health Economic Evaluation Reporting Standards) developed by the ISPOR guidelines (International Society for Pharmacoeconomics and Outcomes Research). Results After applying the inclusion criteria, thirteen studies were included (ten cost-effectiveness analyzes, one cost-utility study, one cost-benefit study, and one unspecified economic evaluation). All the studies involved women in reproductive age (15-49 years). Nine studies used a Markov model to simulate the use of contraceptives. The main clinical outcome was the number of unwanted pregnancies. 84% (11) of studies resulted in cost savings with the evaluated LARC intervention. The remaining studies could not reach the CE threshold mostly due to the intervention price was not competitive. LARC costs vary significantly by type and country. The most cost effective ones resulted to be levonorgestrel (LGN 20 IUS), T380A copper IDU, Implanon and the YuangongCu365. Regarding quality, 77% of the studies analyzed costs from the third payer perspective. In addition, the majority of studies (70%) meet barely 56% of the items included in the CHEERS list. Conclusions Most studies reported dominance in long-term contraceptive methods when considering time horizons of more than 24 months, resulting in cost savings for the health systems even when administration and insertion of long-term methods is more costly at beginning of planning.
publishDate 2018
dc.date.issued.none.fl_str_mv 2018
dc.date.accessioned.none.fl_str_mv 2019-05-27T12:42:47Z
dc.date.available.none.fl_str_mv 2019-05-27T12:42:47Z
dc.type.spa.fl_str_mv Artículo de revista
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dc.identifier.instname.spa.fl_str_mv Corporación Universidad de la Costa
dc.identifier.reponame.spa.fl_str_mv REDICUC - Repositorio CUC
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url https://hdl.handle.net/11323/4705
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identifier_str_mv Corporación Universidad de la Costa
REDICUC - Repositorio CUC
dc.language.iso.none.fl_str_mv eng
language eng
dc.relation.ispartof.spa.fl_str_mv https://doi.org/10.1016/j.jval.2018.04.1226
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dc.publisher.spa.fl_str_mv Value in health 21
institution Corporación Universidad de la Costa
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spelling Gomez de la Rosa, FAlvis Zakzuk, JAlvis Guzman, NMoreno, DJRincon, MVargas, JCEdna Estrada, FUrrego, MRubio, MLAlvarez Mesa, CTolosa, J2019-05-27T12:42:47Z2019-05-27T12:42:47Z2018https://hdl.handle.net/11323/4705Corporación Universidad de la CostaREDICUC - Repositorio CUChttps://repositorio.cuc.edu.co/Objectives To develop a systematic review of economic evaluations on the use of long-acting reversible contraceptives (LARC). Methods A systematic review of scientific literature was carried out in Pubmed, Chochrane and Google Scholar databases. Economic evaluations and systematic reviews of the literature that included long-acting contraception methods (LARC) as intervention technology were included. The review was made in English and Spanish. No publication date restriction were applied on the selected studies. Quality assessment was developed using the CHEERS verification list (Consolidated Health Economic Evaluation Reporting Standards) developed by the ISPOR guidelines (International Society for Pharmacoeconomics and Outcomes Research). Results After applying the inclusion criteria, thirteen studies were included (ten cost-effectiveness analyzes, one cost-utility study, one cost-benefit study, and one unspecified economic evaluation). All the studies involved women in reproductive age (15-49 years). Nine studies used a Markov model to simulate the use of contraceptives. The main clinical outcome was the number of unwanted pregnancies. 84% (11) of studies resulted in cost savings with the evaluated LARC intervention. The remaining studies could not reach the CE threshold mostly due to the intervention price was not competitive. LARC costs vary significantly by type and country. The most cost effective ones resulted to be levonorgestrel (LGN 20 IUS), T380A copper IDU, Implanon and the YuangongCu365. Regarding quality, 77% of the studies analyzed costs from the third payer perspective. In addition, the majority of studies (70%) meet barely 56% of the items included in the CHEERS list. Conclusions Most studies reported dominance in long-term contraceptive methods when considering time horizons of more than 24 months, resulting in cost savings for the health systems even when administration and insertion of long-term methods is more costly at beginning of planning.Los objetivos Desarrollar una revisión sistemática de las evaluaciones económicas sobre el uso de anticonceptivos reversibles de acción prolongada (LARC). Los metodos Se realizó una revisión sistemática de la literatura científica en las bases de datos Pubmed, Chochrane y Google Scholar. Se incluyeron evaluaciones económicas y revisiones sistemáticas de la literatura que incluyó métodos anticonceptivos de acción prolongada (LARC) como tecnología de intervención. La revisión se realizó en inglés y español. No se aplicó ninguna restricción de fecha de publicación en los estudios seleccionados. La evaluación de la calidad se desarrolló utilizando la lista de verificación CHEERS (Estándares de presentación de informes de evaluación económica de la salud consolidada) desarrollada por las directrices de ISPOR (Sociedad Internacional de Farmacoeconomía e Investigación de Resultados). Resultados Después de aplicar los criterios de inclusión, se incluyeron trece estudios (diez análisis de costo-efectividad, un estudio de costo-utilidad, un estudio de costo-beneficio y una evaluación económica no especificada). Todos los estudios incluyeron mujeres en edad reproductiva (15-49 años). Nueve estudios utilizaron un modelo de Markov para simular el uso de anticonceptivos. El principal resultado clínico fue el número de embarazos no deseados. El 84% (11) de los estudios produjo ahorros de costos con la intervención LARC evaluada. Los estudios restantes no pudieron alcanzar el umbral de CE debido principalmente a que el precio de intervención no era competitivo. Los costos de LARC varían significativamente por tipo y país. Los más rentables resultaron ser el levonorgestrel (LGN 20 IUS), la IDU de cobre T380A, Implanon y el YuangongCu365. En cuanto a la calidad, el 77% de los estudios analizó los costos desde la perspectiva del tercer pagador. Además, la mayoría de los estudios (70%) reúnen apenas el 56% de los ítems incluidos en la lista de CHEERS. Conclusiones La mayoría de los estudios informaron un predominio en los métodos anticonceptivos a largo plazo cuando se consideraron horizontes temporales de más de 24 meses, lo que resultó en un ahorro de costos para los sistemas de salud, incluso cuando la administración e inserción de métodos a largo plazo es más costosa al inicio de la planificación.Gomez de la Rosa, F-ade1ab75-051e-4dc5-b038-103e3b6260b4-0Alvis Zakzuk, J-c205d6d0-c415-44e1-be9d-cc0f767d6efd-0Alvis Guzman, N-2d13fafb-f99f-45da-90f0-c24f33bc4418-0Moreno, DJ-5243fc94-2eee-4367-882a-d862cee02574-0Rincon, M-309012bc-5e9c-4d81-8545-811309dd6bb3-0Vargas, JC-e975c60a-446c-4dc0-ac56-e4df304ca8e8-0Edna Estrada, F-9dd7c469-a7d3-4051-96d5-aa75a6b158d8-0Urrego, M-71af6c61-2348-4daf-96b5-4a3280fcb114-0Rubio, ML-3f488d6b-c1b3-4f7f-877b-b8615b4ae1d9-0Alvarez Mesa, C-d53128a7-b057-41d7-ba69-58403fb6ae11-0Tolosa, J-3c607eac-02e9-4218-a13d-245854bab1ef-0engValue in health 21https://doi.org/10.1016/j.jval.2018.04.1226Attribution-NonCommercial-ShareAlike 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-sa/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Revisión sistemáticaEvaluaciones económicasAnticonceptivos reversibles de acción prolongadaSystematic reviewEconomic evaluationsLong-acting reversible contraceptives.Efficiency of the use of long-acting reversible contraception: a systematic review of the literatureEficiencia del uso de anticonceptivos reversibles de acción prolongada: una revisión sistemática de la literaturaArtículo de revistahttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1Textinfo:eu-repo/semantics/articlehttp://purl.org/redcol/resource_type/ARTinfo:eu-repo/semantics/acceptedVersionPublicationCC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; 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