Osteoporosis, bone & mineral

A systematic review of cost‑effectiveness analyses of sequential treatment for osteoporosis

Osteoporos IntPublished Systematic review of cost-effectiveness analyses

Authors' conclusion

The cost-effectiveness of sequential treatment for osteoporosis is influenced by multiple factors.

Study context

Population
Full-text pharmacoeconomic studies of sequential treatment for osteoporosis, published before June 17, 2022 (PubMed, EMBASE, CNKI, Wanfang)10 articles
Comparison
Sequential treatment vs bisphosphonate monotherapy, and between sequential treatments
Outcome
Cost-effectiveness
Methodological detailsquality assessed with CHEERS 2022 and ESCEO-IOF
  • Quality assessed with CHEERS 2022 and ESCEO-IOF

Pooled result

As reported in the abstract

  • Sequential treatment vs bisphosphonate monotherapy: sequential treatment cost-effective or dominant in more than 75% of studies, except sequential treatment involving teriparatide
  • Sequential treatments with abaloparatide or romosozumab cost-effective or dominant vs sequential treatment involving teriparatide

Further pooled results

Key drivers of cost-effectiveness

Drug cost, medication persistence and adherence, drug effect on fracture risk, offset effect, time horizon, and baseline fracture risk

Study quality

Most studies high quality in CHEERS (2022) and ESCEO-IOF

Original publication

A systematic review of cost‑effectiveness analyses of sequential treatment for osteoporosis. Osteoporos Int. Published 17 December 2022. doi:10.1007/s00198-022-06626-1

Composed by AI from the published abstract and checked against it. How Briefs are made →

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