Journal
JOURNAL OF CLINICAL PERIODONTOLOGY
Volume 44, Issue 12, Pages 1236-1244Publisher
WILEY
DOI: 10.1111/jcpe.12775
Keywords
dental; gerodontology; health economics; modelling; oral hygiene
Categories
Ask authors/readers for more resources
AimProfessional oral health care (POHC) prevents nursing home-acquired pneumonia (NHAP) and its related mortality. We assessed the cost-effectiveness of POHC versus no POHC (nPOHC) and the monetary value of eliminating uncertainty by future research. MethodsA German public-private payer perspective was adopted. A Markov model was used, following long-term care residents from admission to death. Cost-effectiveness was estimated as Euro/disability-adjusted life year (DALY) using Monte Carlo microsimulations. Value-of-information analyses were performed. The willingness-to-pay threshold/DALY was assumed to be 66% (range 50%-100%) of per-capita gross domestic product (GDP). ResultsnPOHC was less costly (Euro3,024) but also less effective (0.89 DALYs) than POHC (Euro10,249, 0.55 DALYs). For most presumed payers, POHC was cost-effective. The cost-effectiveness of POHC was higher in smokers, underweight or pulmonary disease patients. Eliminating uncertainty about the NHAP costs, NHAP incidence/mortality, and POHC effectiveness would result in an expected net value of 47million Euro/year (and even higher values at lower GDP thresholds), and is likely to decrease with time. ConclusionsWithin the chosen setting and on the basis of current evidence, POHC was cost-effective. Given the detected uncertainty, further research seems warranted.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available