Cost–utility analysis of a flash continuous glucose monitoring system in the management of people with type 2 diabetes mellitus on basal insulin therapy—An Italian healthcare system perspective
Main finding · Cost-utility (ICER)Result — go to the resultICER 10 556 €/QALYAuthors' conclusion
From an Italian healthcare system perspective, flash CGM is cost effective compared with SMBG for people living with T2DM on basal insulin.
Study context
- Population
- People with T2D receiving basal insulin; simulated patient characteristics reflecting Italian population data
- Participants
- 10,000 simulated patients
- Comparison
- Flash continuous glucose monitoring (CGM) vs self-monitoring of blood glucose (SMBG)
- Outcome
- Cost-utility: incremental cost per QALY (ICER)
- Follow-up
- Lifetime horizon
Methodological detailspatient-level microsimulation model, Italian healthcare system perspective, lifetime horizon, 3.0% discounting for costs and utilities, probabilistic and scenario analyses, Inputs based on clinical trials and real-world evidence
- Patient-level microsimulation model
- Italian healthcare system perspective
- Lifetime horizon
- 3.0% discounting for costs and utilities
- Probabilistic and scenario analyses
- Inputs based on clinical trials and real-world evidence
Main finding
Cost-utility (ICER) · lifetime
Incremental cost-effectiveness ratio (ICER)
10 556 €/QALY
As reported in the abstract
- Direct costs higher with flash CGM vs SMBG
- €5338
- More quality-adjusted life-years (QALYs) with flash CGM vs SMBG
- 0.51
Further findings
Scenario analysis ICERs
- ICER range across scenarios
- €3825/QALY to €26 737/QALY
Probabilistic analysis
- Probability flash CGM cost effective at willingness-to-pay thresholds > €20 000/QALY
- 100%
Original publication
Cost–utility analysis of a flash continuous glucose monitoring system in the management of people with type 2 diabetes mellitus on basal insulin therapy—An Italian healthcare system perspective. Diabetes Obes Metab. Published 10 June 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →