Cost-utility analysis of methadone maintenance treatment in Lithuania
Methods. A prospective study design was used. All the information was obtained through the validated questionnaires at the baseline and 3- and 6-month follow-ups. WHOQOL-BREF was used to assess the quality of life; the costs were assessed using the DATCAP methodology from the perspective of a patient and outpatient clinic during follow-up period.
Results. A total of 102 opioid-dependent patients were recruited in the study; 512 follow-up patient-months were obtained. The methadone maintenance treatment has significantly improved physical, psychological, and environmental components of quality of life during follow-up. Total program costs were 61 288.87 EUR. Cost paid by a patient comprised about 31% of total program costs. Cost per quality-adjusted life-month (QALM) for physical domain was 2227.55 EUR; for psychological domain, 1879.50 EUR; for social domain, 5467.64 EUR; and for environmental domain, 4626.47 EUR. Costs per QALM and quality-adjusted life-year (QALY) for total quality of life in the maintenance program were 2864.00 EUR and 34 368.00 EUR, respectively.
Conclusions. Our results showed that 6-month methadone maintenance program was effective in the terms of quality-of-life improvement. Methadone maintenance treatment program was less effective in terms of cost per QALY.
Vanagas, G.; Padaiga, Ž.; Bagdonas, E. Cost-utility analysis of methadone maintenance treatment in Lithuania. Medicina 2010, 46, 286.
Vanagas G, Padaiga Ž, Bagdonas E. Cost-utility analysis of methadone maintenance treatment in Lithuania. Medicina. 2010; 46(4):286.Chicago/Turabian Style
Vanagas, Giedrius; Padaiga, Žilvinas; Bagdonas, Eugenijus. 2010. "Cost-utility analysis of methadone maintenance treatment in Lithuania." Medicina 46, no. 4: 286.