SGLT-2抑制剂治疗慢性肾脏病的药物经济学系统评价

    Pharmacoeconomic Evaluation of SGLT-2 Inhibitor in the Treatment of Chronic Kidney Disease:A Systematic Review

    • 摘要:
      目的  综述钠-葡萄糖协同转运蛋白-2(sodium-glucose cotransporter-2,SGLT-2)抑制剂用于治疗慢性肾脏病的药物经济性评价方法和结果。
      方法 检索 PubMed、EMbase、Cochrane Library、中国知网(CNKI)、维普网 (VIP)、万方数据发表的SGLT-2抑制剂用于慢性肾脏病治疗的经济学评价文献并对其进行综述,检索时限均为建库至2024年7月。
      结果 共纳入14篇SGLT-2抑制剂用于治疗慢性肾脏病的药物经济学研究,所有文献都显示在标准治疗基础上联合SGLT-2抑制剂比不联合更具经济性。
      结论 纳入的文献多数用马尔科夫模型,纳入的SGLT-2抑制剂包括达格列净、卡格列净和恩格列净,在意愿支付阈值下都比标准治疗更具成本-效果优势。

       

      Abstract:
      OBJECTIVE  To review the pharmacoeconomic evaluation methods and findings of sodium-glucose cotransporter-2 (SGLT-2) inhibitors for the treatment of chronic kidney disease.
      METHODS Economic evaluation studies of SGLT-2 inhibitors for chronic kidney disease were searched in databases such as PubMed, EMbase, Cochrane Library, CNKI, VIP and Wanfang Database from inception to July, 2024.
      RESULTS  A total of 14 pharmacoeconomic studies on the use of SGLT-2 inhibitors for treating chronic kidney disease were included, all of which demonstrated that combination therapy with SGLT-2 inhibitors on top of standard treatment was more cost-effective than standard treatment alone.
      CONCLUSION  Most included studies employ Markov models, and demonstrate that the incorporated SGLT-2 inhibitors including dapagliflozin, canagliflozin and empagliflozin are cost-effective over standard treatment at various willingness-to-pay thresholds.

       

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