María Adelaida Córdoba Nuñez

Latin American Clinical Epidemiology Network Series – Paper 4: Economic evaluation of Kangaroo Mother Care: cost utility analysis of results from a randomized controlled trial conducted in Bogotá

Publisher: Elsevier BV

Date: 06-2017

DOI: 10.1016/J.JCLINEPI.2016.10.007

Abstract: Although kangaroo mother care (KMC) has been shown to be safe and effective in randomized controlled trials (RCTs), there are no published complete economic evaluations including the three components of the full intervention. A cost utility analysis performed on the results of an RCT conducted in Bogotá, Colombia between 1993 and 1996. Hospital and ambulatory costs were estimated by microcosting in a s le of preterm infants from a University Hospital in Bogotá in 2011 and at a KMC clinic in the same period. Utility scores were assigned by experts by means of (1) direct ordering and scoring discrete health states and (2) constructing a multi-attribute utility function. Ninety-five percent confidence intervals (CIs) for the incremental cost-utility ratios (ICURs) were computed by the Fiellers theorem method. One-way sensitivity analysis on price estimates for valuing costs was performed. ICUR at 1 year of corrected age was $ -1,546 per extra quality-adjusted life year gained using the KMC method (95% CI $ -7,963 to $ 4,910). In Bogotá, the use of KMC is dominant: more effective and cost-saving. Although results from an economic analysis should not be extrapolated to different systems and communities, this dominant result suggests that KMC could be cost-effective in similar low and middle income countries settings.

Consorcio Universidad Nacional Autonoma De Mexico

Location: Mexico

View Organisation

Fundación HOMI Hospital De La Misericordia

Location: Colombia

View Organisation

Pontificia Universidad Javeriana

Location: Colombia

View Organisation

Universidad De Los Andes

Location: Colombia

View Organisation

Hospital Universitario De La Fundación Santa Fe De Bogotá

Location: Colombia

View Organisation

Hospital Universitario San Ignacio

Location: Colombia

View Organisation