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- Title
Cost-Effectiveness of a Specialized Oral Nutritional Supplementation for Malnourished Older Adult Patients in Spain.
- Authors
Ballesteros-Pomar, María D.; Martínez Llinàs, Diana; Goates, Scott; Sanz Barriuso, Rebeca; Sanz-Paris, Alejandro
- Abstract
Malnutrition has been related to prolonged hospital stays, and to increases in readmission and mortality rates. In the NOURISH (Nutrition effect On Unplanned Readmissions and Survival in Hospitalized patients) study, administering a high protein oral nutritional supplement (ONS) containing beta-hydroxy-beta-methylbutyrate (HP-HMB) to hospitalised older adult patients led to a significant improvement in survival compared with a placebo treatment. The aim of this study was to determine whether HP-HMB would be cost-effective in Spain. We performed a cost-effectiveness analysis from the perspective of the Spanish National Health System using time horizons of 90 days, 180 days, 1 year, 2 years, 5 years and lifetime. The difference in cost between patients treated with HP-HMB and placebo was €332.75. With the 90 days time horizon, the difference in life years gained (LYG) between both groups was 0.0096, resulting in an incremental cost-effectiveness ratio (ICER) of €34,700.62/LYG. With time horizons of 180 days, 1 year, 2 years, 5 years and lifetime, the respective ICERs were €13,711.68, €3377.96, €2253.32, €1127.34 and €563.84/LYG. This analysis suggests that administering HP-HMB to older adult patients admitted to Spanish hospitals during hospitalisation and after discharge could be a cost-effective intervention that would improve survival with a reduced marginal cost.
- Subjects
SPAIN; DIETARY supplements; HOSPITAL care of older people; MALNUTRITION; COST effectiveness; HOSPITAL admission &; discharge; MEDICAL care costs; PATIENTS; SURVIVAL; TIME; DISCHARGE planning; 3-Hydroxybutyric acid; OLD age; PROGNOSIS; ECONOMICS
- Publication
Nutrients, 2018, Vol 10, Issue 2, p246
- ISSN
2072-6643
- Publication type
Article
- DOI
10.3390/nu10020246