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Adefovir dipivoxil and pegylated interferon alfa-2a for the treatment of chronic hepatitis B: a systematic review and economic evaluation

Record type: Article

ADV and PEG are associated with significant improvements in a number of biochemical, virological and histological outcomes in both HBeAg-positive and -negative patients. For a small proportion of patients this is associated with resolution of infection. For another proportion it leads to remission and a reduced risk of progressing to cirrhosis, hepatocellular carcinoma, liver transplant and death. For others who do not respond or who relapse, retreatment with another agent is necessary. The results of our cost-effectiveness analysis demonstrate that incremental costs per QALY for a range of comparisons were between 5994 pounds and 16,569 pounds and within the range considered by NHS decision-makers to represent good value for money. When subjected to sensitivity analysis, most costs per QALY estimates remained under 30,000 pounds. Further RCT evidence of the effectiveness of anti-viral treatment is required, particularly for subgroups of patients with different genotypes, patients with cirrhosis, patients from different ethnic groups, patients with co-infections (e.g. HIV, HCV) and co-morbidities, liver transplant patients and children and adolescents.

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Citation

Shepherd, J., Jones, J., Takeda, A., Davidson, P. and Price, A. (2006) Adefovir dipivoxil and pegylated interferon alfa-2a for the treatment of chronic hepatitis B: a systematic review and economic evaluation Health Technology Assessment, 10, (28), pp. 1-183. (doi:10.3310/hta10280). (PMID:16904047).

More information

Published date: August 2006
Organisations: Faculty of Medicine

Identifiers

Local EPrints ID: 194801
URI: http://eprints.soton.ac.uk/id/eprint/194801
ISSN: 1366-5278
PURE UUID: f5a8acbc-9cde-47cc-8737-3d4d3c238693
ORCID for P. Davidson: ORCID iD orcid.org/0000-0003-0388-6356

Catalogue record

Date deposited: 11 Aug 2011 10:38
Last modified: 18 Jul 2017 11:26

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Contributors

Author: J. Shepherd
Author: J. Jones
Author: A. Takeda
Author: P. Davidson ORCID iD
Author: A. Price

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