NARRATIVE REVIEW: COST-EFFECTIVENESS ANALYSIS OF THE USE OF ORAL ANTIDIABETIC DRUGS BIGUANIDE AND SULFONYLUREA GROUP IN PATIENTS WITH TYPE 2 DIABETES MELLITUS

Kezia Ivana, D. C. Pradana, Citra Ayu Aprilia
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Abstract

Diabetes Mellitus requires long-term management at a considerable cost. Therefore, a cost-Effectiveness analysis was used to assess several health interventions. Biguanide and Sulfonylurea provided the best results at the cheapest cost in this study. This study aims to gain a supporting theoretical foundation regarding the cost-effectiveness of using oral antidiabetic drugs biguanide and sulfonylureas in patients with type 2 diabetes mellitus. The method used in this study is a Narrative Review using literature that discusses the cost-effectiveness of oral antidiabetic drugs biguanide and sulfonylureas in patients with type 2 diabetes mellitus. Based on the results of this study, the age range of the occurrence of Type 2 Diabetes Mellitus is 45-65 years, with more percentage of male patients than women and a common complication is hypertension. In this study, the use of the biguanide drug (Metformin) was shown to provide a significant reduction in blood sugar levels at a reasonably low cost. The ICER results showed that combination drugs increased additional costs, but their use was more effective in healing and improving patients' quality of life. In conclusion to this study, the use of biguanide and sulfonylurea groups proved cost-effective compared to other antidiabetic drugs.
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叙述性综述:口服降糖药双胍和磺脲类药物治疗2型糖尿病患者的成本-效果分析
糖尿病需要长期治疗,费用相当高。因此,成本效益分析用于评估若干卫生干预措施。双胍和磺酰脲在本研究中以最便宜的成本提供了最好的结果。本研究旨在为2型糖尿病患者口服降糖药双胍和磺脲类药物的成本-效果提供理论支持。本研究采用记叙性综述的方法,利用文献讨论口服降糖药双胍和磺脲类药物治疗2型糖尿病患者的成本-效果。根据本研究结果,2型糖尿病的发病年龄范围为45-65岁,男性患者比例高于女性,常见并发症为高血压。在这项研究中,双胍类药物(二甲双胍)的使用被证明可以以相当低的成本显著降低血糖水平。ICER结果显示,联合用药增加了额外的费用,但在治疗和改善患者生活质量方面更有效。本研究的结论是,与其他降糖药物相比,双胍和磺脲类药物的使用证明具有成本效益。
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