[Hospital production cost of repetitive transcranial magnetic stimulation (rTMS) in the treatment of depression]. / Coût de production hospitalier de la stimulation magnétique transcrânienne répétée (rTMS) dans le traitement de la dépression.
Rev Epidemiol Sante Publique
; 63(4): 268-74, 2015 Aug.
Article
en Fr
| MEDLINE
| ID: mdl-26143960
BACKGROUND: Repetitive transcranial magnetic stimulation (rTMS) is an effective and well-tolerated treatment in resistant depression with mild to moderate intensity. This indication has not yet been approved in France. The cost and medico-economic value of rTMS in psychiatry remains unknown. The aim of this preliminary study was to assess rTMS cost production analysis as an in-hospital treatment for depression. METHODS: The methodology, derived from analytical accounts, was validated by a multidisciplinary task force (clinicians, public health doctors, pharmacists, administrative officials and health economist). It was pragmatic, based on official and institutional documentary sources and from field practice. It included equipment, staff, and structure costs, to get an estimate as close to reality as possible. First, we estimated the production cost of rTMS session, based on our annual activity. We then estimated the cost of a cure, which includes 15 sessions. A sensitivity analysis was also performed. RESULTS: The hospital production cost of a cure for treating depression was estimated at 1932.94 ( 503.55 for equipment, 1082.75 for the staff, and 346.65 for structural expenses). CONCLUSION: This cost-estimate has resulted from an innovative, pragmatic, and cooperative approach. It is slightly higher but more comprehensive than the costs estimated by the few international studies. However, it is limited due to structure-specific problems and activity. This work could be repeated in other circumstances in order to obtain a more general estimate, potentially helpful for determining an official price for the French health care system. Moreover, budgetary constraints and public health choices should be taken into consideration.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Costos de Hospital
/
Depresión
/
Estimulación Magnética Transcraneal
Tipo de estudio:
Health_economic_evaluation
Límite:
Humans
País/Región como asunto:
Europa
Idioma:
Fr
Revista:
Rev Epidemiol Sante Publique
Año:
2015
Tipo del documento:
Article
Pais de publicación:
Francia