Kosten-nutzen-analyse klinisch-evaluierter behandlungsprogramme: Erweiterte entzugstherapie bei alkoholabhangigkeit

Translated title of the contribution: Cost-effectiveness analysis of clinically evaluated treatment programmes of alcohol dependence

M. Driessen*, C. Veltrup, K. Junghanns, A. Przywara, H. Dilling

*Corresponding author for this work
33 Citations (Scopus)

Abstract

Background: Cost-effectiveness analyses complete clinical evaluation studies and thereby support the a well based estimation of therapy efficiency. Aim: A qualified (extended) alcohol withdrawal treatment programme (II), which was previously described and evaluated by face-to-face follow-up studies, was analyzed with regard to cost-effectiveness. Sample: 57 alcohol-dependent patients, which had undergone programme II, were compared with 37 patients after a medical detoxification programme (I). Methods: Health insurance data (number and length of all hospitalisations, days of incapacity to work, days of financial substitution for incapacity to work) were assessed for the five years before and after index therapy and for each year, separately. Results: While there were no substantial differences for the time before index therapy, programme II patients were hospitalized after index therapy (i) less frequently (3.5+4.4 vs. 7.3+11.3 times), (ii) for fewer days (66+75 vs. 136+167) than programme I patients, and they received financial support for fewer days (67±73 vs 220±187 days). Conclusion: Considering a somewhat better clinical outcome of programme II vs. programme I patients (14% greater abstinence rate within one year) the significantly lower rates and fewer days of follow-up hospitalisations support a sufficient efficiency of the extended alcohol withdrawal treatment programme.

Translated title of the contributionCost-effectiveness analysis of clinically evaluated treatment programmes of alcohol dependence
Original languageGerman
JournalNervenarzt
Volume70
Issue number5
Pages (from-to)463-470
Number of pages8
ISSN0028-2804
DOIs
Publication statusPublished - 05.1999

Research Areas and Centers

  • Academic Focus: Center for Brain, Behavior and Metabolism (CBBM)

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