ISSN 2321–3647
Sun, 19 Nov 2017

Cost Effectiveness Analysis of Atomoxetine Versus Behavioral Therapy Versus Combination of Both in Children with Attention Deficit Hyper Activity Disorder (ADHD)

Manal El- Hamamsy1, Ehab M. Eid2, Basma M. Elsayed3

Faculty of pharmacy1, 2, Institute of Post Graduate Studies of Childhood3, Ain Shams University1, 2, 3 .Cairo, Egypt


ABSTRACT

High prevalence of children diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) in Mental Health settings for children, and substantial impact on children, their parents life, and society has made ADHD a major public health concern. To analyze the cost effectiveness of medication (Atomoxetine), behavioral therapy, and combined treatment of Atomoxetine and behavioral therapy for treatment of ADHD in children from payer perspective with time horizon: 12 weeks. A prospective trial based economic evaluation conducted on children (6 to 12 years ), in psychiatric out patients clinic at Abasseya Mental Hospital (AMH), Cairo ,Egypt , and had a clinical diagnoses of ADHD as defined in the Diagnostic and statistical Manual fourth edition (DSM_IV). Were classified into three groups: medication only group, behavioral therapy group, and combined medication and behavioral therapy group . Each treatment had both a cost and an outcome associated with it. Cost effectiveness ratio comprising the average total cost per child per unit of outcome [three months-Quality Adjusted Life Years] "QALY" in each of the three groups. The combined therapy was associated with the highest cost effective ratio C/E Ratio of 7695.524 LE per QALY, medication therapy was 4381.927 LE per QALY, While C/E Ratio of behavioral therapy was 3337.339 LE per QALY. The sensitivity analyses: show that the utility values of all health states are crucial determinants of the cost-effectiveness results. Combined therapy associated with greatest health benefits and highest costs. Behavioral therapy was the least effective and cheapest option.

Keywords: Attention Deficit Hyperactivity Disorder, Abasseya Mental Hospital, Diagnostic and statistical Manual


[PDF]  Viewed: 765  Downloaded: 75
  • Call for paper
    Call for paper

    American Journal of Pharmacy and Health Research (AJPHR) is a peer-reviewed, monthly official international journal allowing access to abstracts and full-text.

  • Email & SMS Alerts
    Email & SMS Alerts

    Email/SMS alert system is one of the key features and gives update information about the submitted manuscript.

    Read more...

  • Article Statastics
    Article Statastics

    American Journal of Pharmacy and Health Research (AJPHR) provides unique facility for authors to know popularity of articles on basis of numbers of PDF download and views. It will display in tabulated format.

  • Online Submission
    Online Submission

    American Journal of Pharmacy and Health Research (AJPHR) is one of the International open access journal devoted to various disciplines in science and technology.

    Read more...

web counter
web counter