Cost-Effectiveness of a Collaborative Care Model Among Patients With Type 2 Diabetes and Depression in India
Primary result · ICER vs usual care, multipayer perspectiveResult — go to the resultICER per DFD INR290.2 (Int'l-$14.4) per DFD gainedAuthors' conclusion
Collaborative care for patients with type 2 diabetes and depression in urban India can be cost-effective, especially when integrated in clinical workflows. Long-term cost-effectiveness might be more favorable. Scalability across lower- and middle-income country settings depends on heterogeneous contextual factors.
Study context
- Population
- Adults with poorly controlled T2D (HbA1c ≥8.0%, systolic blood pressure ≥140 mmHg, or LDL-C ≥130 mg/dL) and depressive symptoms (PHQ-9 score ≥10), 4 urban clinics in Indiarandomised
- Participants
- 404 adults
- Comparison
- Collaborative care vs usual care
- Primary endpoint
- Incremental cost-effectiveness ratios (ICERs) (Indian rupees (INR) and Int'l-$) and probability of cost-effectiveness using quality-adjusted life-years (QALYs) and depression-free days (DFDs)
Methodological details24-month, parallel, open-label, pragmatic, 4 urban clinics, multipayer and societal perspectives
- 24-month
- Parallel
- Open-label
- Pragmatic
- 4 urban clinics
- Multipayer and societal perspectives
Primary result
ICER vs usual care, multipayer perspective · 24 months
ICER per DFD
INR290.2 (Int'l-$14.4) per DFD gained
As reported in the abstract
- Willingness to pay per DFD for probability of cost-effectiveness >95%
- INR401.6 (Int'l-$19.9)
Further findings
Cost-effectiveness, societal perspective
- Cost-effectiveness marginally lower than from multipayer perspective
Sensitivity analysis: collaborative care integrated in clinical workflows
- Reduction in incremental costs
- ∼47%
- ICER per QALY
- 162,689
- Probability of cost-effectiveness
- 89.4%
Sensitivity analysis: adjustment for baseline values
- Cost-effectiveness decreased
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
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