Type 2 & other diabetes

Estimating the value of sodium‐glucose cotransporter‐2 inhibitors within the context of contemporary guidelines and the totality of evidence

Diabetes Obes MetabPublished Cost-effectiveness analysis

Authors' conclusion

Our results show that SGLT2 inhibitors have the potential to lower healthcare costs while improving health outcomes in eligible patient subpopulations.

Study context

Population
Eligible T2D subpopulations at established clinical review/intensification points
Comparison
SGLT2i pathways per NICE NG28-2022 guidelines vs NG28-2015 guidelines
Outcome
Cost-effectiveness: incremental cost-effectiveness ratio lifetime trajectories and timepoints for complete cost-offset
Follow-up
Lifetime
Methodological detailsmodelling study, Cardiff type 2 diabetes model, lifetime horizon, costs discounted at 3.5%
  • Modelling study
  • Cardiff type 2 diabetes model
  • Lifetime horizon
  • Costs discounted at 3.5%

Main finding

As reported in the abstract

Cost-effectiveness of SGLT2i introduction

SGLT2i introduction cost-effective for all subpopulations on NG28-2022 pathways; cost-saving after (years post-initiation)

2 and 16

Incremental QALY gains (range), resulting in dominance for NG28-2022 in all scenarios

0.58-1.12

Original publication

Estimating the value of sodium‐glucose cotransporter‐2 inhibitors within the context of contemporary guidelines and the totality of evidence. Diabetes Obes Metab. Published 29 March 2023. doi:10.1111/dom.15040

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