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The economic consequences of NSAID-induced gastropathy: the French context.

Authors
  • de Pouvourville, G
Type
Published Article
Journal
Scandinavian journal of rheumatology. Supplement
Publication Date
Jan 01, 1992
Volume
96
Pages
49–53
Identifiers
PMID: 1439624
Source
Medline
License
Unknown

Abstract

The costs of treating gastroduodenal ulcers caused by nonsteroidal anti-inflammatory drugs (NSAIDs) are shown to increase the total cost of NSAID treatment to the Assurance-Maladie, the French national health insurance system. This increased cost is termed the iatrogenic cost factor, and is defined as the ratio of the shadow price of an NSAID to its reimbursed cost. The shadow price is calculated from estimates of the incidence of NSAID-induced gastropathies, the cost of the drug, and the hospital and ambulatory costs of treating the gastropathies. The resulting iatrogenic cost factors are estimated as 1.36 for naproxen, 1.48 for sulindac, 1.65 for diclofenac, 1.67 for piroxicam, 2.00 for ketoprofen, and 2.12 for etodolac.

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