Cost-Effectiveness of Office-Based Buprenorphine Treatment for Opioid Use Disorder

Original research
par
Qian, Gary et al

Date de publication

2022

Géographie

USA

Langue de la ressource

English

Texte disponible en version intégrale

Non

Open Access / OK to Reproduce

Non

Évalué par des pairs

Yes

L’objectif

To assess the effectiveness and cost-effectiveness of office-based buprenorphine treatment (OBBT) in the U.S., in terms of fatal and nonfatal overdoses and deaths over five years, discounted lifetime quality-adjusted life years (QALYs), and costs.

Constatations/points à retenir

Using a limited societal perspective that additionally includes patient costs and criminal justice costs, OBBT is cost-saving compared to no treatment even under pessimistic assumptions about efficacy and cost. Expansion of OBBT would be highly cost-effective compared to no treatment when considered from a healthcare perspective, and cost-saving when reduced criminal justice costs are included.

La conception ou méthodologie de recherche

We performed a model-based analysis of buprenorphine treatment provided in a primary care setting for the U.S. population with OUD.

Mots clés

Substitution/OAT
Legal system/law enforcement
Overdose
Mortality