Economic Evaluation of anti-epileptic Medicines for Autistic Children with Epilepsy
Tinelli, M., Roddy, Á., Knapp, M., Arango, C., Méndez, M. A., Cusack, J., Murphy, D., Canitano, R., Oakley, B. F., & Quoidbach, V. (2023). Economic Evaluation of anti-epileptic Medicines for Autistic Children with Epilepsy. Journal of Autism and Developmental Disorders, 54(7), 2733-2741. https://doi.org/10.1007/s10803-023-05941-8
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Abstract
We examine the cost-effectiveness of treating epilepsy with anti-epileptic medicines in autistic children, looking at impacts on healthcare providers (in England, Ireland, Italy and Spain) and children's families (in Ireland). We find carbamazepine to be the most cost-effective drug to try first in children with newly diagnosed focal seizures. For England and Spain, oxcarbazepine is the most cost-effective treatment when taken as additional treatment for those children whose response to monotherapy is suboptimal. In Ireland and Italy, gabapentin is the most cost-effective option. Our additional scenario analysis presents the aggregate cost to families with autistic children who are being treated for epilepsy: this cost is considerably higher than healthcare provider expenditure.
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-
Ann Jacoby , Joan K. Austin (2007). Social stigma for adults and children with epilepsy . Epilepsia, 48(s9), 6-9. Wiley.Crossref OpenAlex OpenCitations
-
Katharina Allers , Beverley M. Essue , Maree L. Hackett , Janani Muhunthan , Craig S. Anderson , Kristen Pickles et al. (2015). The economic impact of epilepsy: a systematic review . BMC Neurology, 15(1), 245. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Tatja Hirvikoski , Ellenor Mittendorfer-Rutz , Marcus Boman , Henrik Larsson , Paul Lichtenstein , Sven Bölte (2016). Premature mortality in autism spectrum disorder . British Journal of Psychiatry, 208(3), 232-238. Royal College of Psychiatrists.Crossref OpenAlex OpenCitations
-
Michael E Drummond , Mark J Sculpher , George W Torrance , Bernie J O’Brien , Greg L Stoddart (2005). Methods for the Economic Evaluation of Health Care Programmes . Oxford University PressOxford.Crossref OpenAlex OpenCitations
-
Hassan Khader Y Almathami , Khin Than Win , Elena Vlahu-Gjorgievska (2020). Barriers and Facilitators That Influence Telemedicine-Based, Real-Time, Online Consultation at Patients’ Homes: Systematic Literature Review . Journal of Medical Internet Research, 22(2), e16407. JMIR Publications Inc..Crossref OpenAlex OpenCitations
-
Emilio Perucca , Dina Battino , Torbjörn Tomson (2014). Gender issues in antiepileptic drug treatment . Neurobiology of Disease, 72, 217-223. Elsevier BV.Crossref OpenAlex OpenCitations
-
Poul Jennum , Jesper Gyllenborg , Jakob Kjellberg (2011). The social and economic consequences of epilepsy: A controlled national study . Epilepsia, 52(5), 949-956. Wiley.Crossref OpenAlex OpenCitations
-
L Andronis , P Barton , S Bryan (2009). Sensitivity analysis in economic evaluation: an audit of NICE current practice and a review of its use and value in decision-making . Health Technology Assessment, 13(29), iii. National Institute for Health and Care Research.Crossref OpenAlex OpenCitations
-
Tugba Hirfanoglu , Ayse Serdaroglu , Ali Cansu , A. Sebnem Soysal , Eda Derle , Kivilcim Gucuyener (2009). Do knowledge of, perception of, and attitudes toward epilepsy affect the quality of life of Turkish children with epilepsy and their parents? Epilepsy & Behavior, 14(1), 71-77. Elsevier BV.Crossref OpenAlex OpenCitations
-
(1991). The epilepsies; diagnosis and management . General Pharmacology: The Vascular System, 22(4), 765. Elsevier BV.OpenAlex
-
Ana Argumosa , José Luis Herranz (2004). Childhood epilepsy: a critical review of cost‐of‐illness studies . Epileptic Disorders, 6(1), 31-40. Wiley.Crossref OpenAlex OpenCitations
-
Christelle M. El Achkar , Sarah J. Spence (2015). Clinical characteristics of children and young adults with co-occurring autism spectrum disorder and epilepsy . Epilepsy & Behavior, 47, 183-190. Elsevier BV.Crossref OpenAlex OpenCitations
-
Martín Knapp , Tom Snell , Andrew Healey , Sacha Guglani , Sara Evans‐Lacko , Jose‐Luis Fernandez et al. (2015). How do child and adolescent mental health problems influence public sector costs? Interindividual variations in a nationally representative British sample . Journal of Child Psychology and Psychiatry, 56(6), 667-676. Wiley.Crossref OpenAlex OpenCitations
-
Autistica (2022). Make the most of a telephone health appointment. https://www.autistica.org.uk/what-is-autism/coronavirus/make-the-most-of-a-telephone-appointmentType: OtherCrossref
-
PACT Consortium , Barbara Barrett , Sarah Byford , Kristelle Hudry , Kristelle Hudry , Kathy Leadbitter et al. (2012). Service and Wider Societal Costs of Very Young Children with Autism in the UK . Journal of Autism and Developmental Disorders, 42(5), 797-804. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Tom Snell , Martín Knapp , Andrew Healey , Sacha Guglani , Sara Evans‐Lacko , Jose‐Luis Fernandez et al. (2013). Economic impact of childhood psychiatric disorder on public sector services in Britain: estimates from national survey data . Journal of Child Psychology and Psychiatry, 54(9), 977-985. Wiley.Crossref OpenAlex OpenCitations
-
Frank Besag (2017). Epilepsy in patients with autism: links, risks and treatment challenges . Neuropsychiatric Disease and Treatment, Volume 14, 1-10. Informa UK Limited.Crossref OpenAlex OpenCitations
-
S. J. Whitehead , S. Ali (2010). Health outcomes in economic evaluation: the QALY and utilities . British Medical Bulletin, 96(1), 5-21. Oxford University Press (OUP).Crossref OpenAlex OpenCitations
-
Neil Hawkins , David Epstein , Michael Drummond , Jennifer Wilby , Anita Kainth , David R. Chadwick et al. (2005). Assessing the Cost-Effectiveness of New Pharmaceuticals in Epilepsy in Adults: The Results of a Probabilistic Decision Model . Medical Decision Making, 25(5), 493-510. SAGE Publications.Crossref OpenAlex OpenCitations
-
Ariane V. S. Buescher , Zuleyha Cidav , Martín Knapp , David S. Mandell (2014). Costs of Autism Spectrum Disorders in the United Kingdom and the United States . JAMA Pediatrics, 168(8), 721. American Medical Association (AMA).Crossref OpenAlex OpenCitations
-
Tara A. Lavelle , Brittany N. D’Cruz , Babak Mohit , Wendy J. Ungar , Lisa A. Prosser , Kate Tsiplova et al. (2019). Family Spillover Effects in Pediatric Cost-Utility Analyses . Applied Health Economics and Health Policy, 17(2), 163-174. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Curtis, L., & Burns, A. (2015). Unit costs of health and social care. Canterbury: Personal Social Services Research Unit. https://www.pssru.ac.uk/project-pages/unit-costs/unit-costs-2015/Type: OtherCrossref
-
Karola Dillenburger , Julie-Ann Jordan , Lyn McKerr , Mickey Keenan (2015). The Millennium child with autism: Early childhood trajectories for health, education and economic wellbeing . Developmental Neurorehabilitation, 18(1), 37-46. Informa UK Limited.Crossref OpenAlex OpenCitations
-
Dawn Lee , Daniel Gladwell , Anthony J. Batty , Nic Brereton , Elaine Tate (2013). The Cost Effectiveness of Licensed Oromucosal Midazolam (Buccolam®) for the Treatment of Children Experiencing Acute Epileptic Seizures: An Approach When Trial Evidence is Limited . Pediatric Drugs, 15(2), 151-162. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Emma J. Frew , Josie Sandercock , William P. Whitehouse , Stirling Bryan (2007). The cost-effectiveness of newer drugs as add-on therapy for children with focal epilepsies . Seizure, 16(2), 99-112. Elsevier BV.Crossref OpenAlex OpenCitations
-
Michael Fleming , Catherine A. Fitton , Markus F. C. Steiner , James S. McLay , David Clark , Albert King et al. (2019). Educational and health outcomes of children and adolescents receiving antiepileptic medication: Scotland-wide record linkage study of 766 244 schoolchildren . BMC Public Health, 19(1), 595-595. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Elysa Widjaja , Astrid Guttmann , George Tomlinson , O. Carter Snead , Beate Sander (2021). Economic burden of epilepsy in children: A population‐based matched cohort study in Canada . Epilepsia, 62(1), 152-162. Wiley.Crossref OpenAlex OpenCitations
-
Krister Järbrink , Paul McCrone , Éric Fombonne , Håkan Zandén , Martín Knapp (2007). Cost-impact of young adults with high-functioning autistic spectrum disorder . Research in Developmental Disabilities, 28(1), 94-104. Elsevier BV.Crossref OpenAlex OpenCitations
-
Dawn C Lee , Daniel Gladwell , Anthony J Hatswell , Joshua Porter , Nic Brereton , Elaine Tate et al. (2014). A comparison of the cost-effectiveness of treatment of prolonged acute convulsive epileptic seizures in children across Europe . Health Economics Review, 4(1), 6. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
(n.d.). Health Information and Quality Authority (HIQA). Guidelines for the economic evaluation of health technologies in Ireland 2020. https://www.hiqa.ie/reports-and-publications/health-technology-assessment/guidelines-economic-evaluation-healthType: OtherCrossref
-
Health Services Executive (HSE). (2021). Hospital charges. https://www.hse.ie/eng/about/who/acute-hospitals-division/patient-care/hospital-charges/Type: OtherCrossref
-
Shaun A. Hussain , Jesse D. Ortendahl , Tanya G. K. Bentley , Amanda L. Harmon , Shaloo Gupta , Charles E. Begley et al. (2020). The economic burden of caregiving in epilepsy: An estimate based on a survey of US caregivers . Epilepsia, 61(2), 319-329. Wiley.Crossref OpenAlex OpenCitations
-
Rachael M. Hunter , Colin Reilly , Patricia Atkinson , Krishna B. Das , Christopher Gillberg , Richard F. Chin et al. (2015). The health, education, and social care costs of school‐aged children with active epilepsy: A population‐based study . Epilepsia, 56(7), 1056-1064. Wiley.Crossref OpenAlex OpenCitations
-
Ben F.M. Wijnen , Ghislaine A.P.G. van Mastrigt , Silvia M.A.A. Evers , Olga Gershuni , Danielle A.J.E. Lambrechts , Marian H.J.M. Majoie et al. (2017). A systematic review of economic evaluations of treatments for patients with epilepsy . Epilepsia, 58(5), 706-726. Wiley.Crossref OpenAlex OpenCitations
-
Xian Liu , Xin Sun , Caihong Sun , Mingyang Zou , Yiru Chen , Junping Huang et al. (2022). Prevalence of epilepsy in autism spectrum disorders: A systematic review and meta-analysis . Autism, 26(1), 33-50. SAGE Publications.Crossref OpenAlex OpenCitations
-
Poul Jennum , Line Pickering , Jakob Christensen , Rikke Ibsen , Jakob Kjellberg (2016). Welfare cost of childhood- and adolescent-onset epilepsy: A controlled national study . Epilepsy & Behavior, 61, 72-77. Elsevier BV.Crossref OpenAlex OpenCitations
-
Poul Jennum , Jakob Christensen , Rikke Ibsen , Jakob Kjellberg (2016). Long‐term socioeconomic consequences and health care costs of childhood and adolescent‐onset epilepsy . Epilepsia, 57(7), 1078-1085. Wiley.Crossref OpenAlex OpenCitations
-
Doodipala Samba Reddy (2017). Sex differences in the anticonvulsant activity of neurosteroids . Journal of Neuroscience Research, 95(1-2), 661-670. Wiley.Crossref OpenAlex OpenCitations
-
Matthew M. Zack , Rosemarie Kobau (2017). National and State Estimates of the Numbers of Adults and Children with Active Epilepsy — United States, 2015 . MMWR. Morbidity and Mortality Weekly Report, 66(31), 821-825. Centers for Disease Control MMWR Office.Crossref OpenAlex OpenCitations
-
MIMS Ireland (2019). MPI Media Ltd., Dublin, Ireland. https://www.mims.ie/Type: OtherCrossref
-
National Clinical Guideline Centre (UK). (2012). The epilepsies: The diagnosis and management of the epilepsies in adults and children in primary and secondary care. Royal College of Physicians (UK).Type: OtherCrossref
-
NICE (2021). Epilepsies: diagnosis and management. https://www.nice.org.uk/guidance/cg137Type: OtherCrossref
-
NICE (2023). Glossary. https://www.nice.org.uk/glossaryType: OtherCrossref