Pituitary & hypothalamus

Innovative Approaches to Improve the Success of Pituitary Surgery in Cushing's Disease: A Cost‐Effectiveness Perspective

Clin Endocrinol (Oxf)Published Cost-effectiveness analysis

Authors' conclusion

Our early health economic model exploring the conditions for success of innovations in pituitary surgery shows room for improvement, but also the importance of accurate health-related quality of life data to assess the economic value of innovations in individuals with CD.

Study context

Population
Simulated patients with CD and pituitary surgery as primary treatment; model input from literature and expert opinion
Comparison
Innovations in pituitary surgery vs current pituitary surgery
Outcome
Incremental healthcare costs and incremental QALYs
Follow-up
10 years
Methodological detailsearly health economic modelling study, decision tree and state-transition model, 10-year time horizon, headroom and threshold analysis, probabilistic and one-way sensitivity analyses
  • Early health economic modelling study
  • Decision tree and state-transition model
  • 10-year time horizon
  • Headroom and threshold analysis
  • Probabilistic and one-way sensitivity analyses

Main finding

As reported in the abstract

Headroom analysis per patient

Quality-adjusted life-years (QALYs) that could be gained per patient

0.028

Euros that could be saved per patient

2082

Maximum innovation price for cost-effectiveness at willingness to pay of 80,000 euros

4288 euros

95% CI 3377–5181

Further findings

Sensitivity analyses

Utility values mainly determined cost-effectiveness

Original publication

Innovative Approaches to Improve the Success of Pituitary Surgery in Cushing's Disease: A Cost‐Effectiveness Perspective. Clin Endocrinol (Oxf). Published 5 May 2025. doi:10.1111/cen.15263

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