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Open Access 01-12-2024 | Anemia | Research

Cost-effectiveness analysis of parenteral iron therapy compared to oral iron supplements in managing iron deficiency anemia among pregnant women

Authors: Somen Saha, Devang Raval, Komal Shah, Deepak Saxena

Published in: Health Economics Review | Issue 1/2024

Abstract

Objective

This study compared the clinical efficacy and cost-effectiveness of parenteral iron, using intravenous iron sucrose (IVIS) therapy against the standard regimen of oral iron (OI) therapy for managing iron-deficiency anemia (IDA) among pregnant women in a natural primary care setting in Gujarat.

Design

A prospective cost-effectiveness study was conducted in natural programme setting wherein 188 pregnant women in their 14 to 18 weeks with moderate and severe anemia women enrolled from two districts of Gujarat, and 142 were followed up until the post-partum phase. The intervention group comprised of 82 participants who were administered IVIS, while the comparison group comprised of 106 participants who were put on OI therapy. Hemoglobin (Hb) levels were measured at periodic intervals, first during enrollment and then during each month of pregnancy period and finally on the 42nd day of the post-natal period.

Outcome measures

Change in mean Hb level from baseline was the primary outcome, while the incidence of morbidity and mortality was a secondary outcome measure.

Results

The intervention group showed a significant incremental mean change in Hb level from 8.2 g/dl to 11.45 g/dl at the fourth follow-up, while the control group's mean Hb level reduced from 9.99 g/dl to 9.55 g/dl. The discounted cost per beneficiary for IVIS was US$ 87, while that for OI was US$ 49. The incremental cost-effectiveness ratio (ICER) was US$ 9.84, which is 0.049% of India's per capita GDP.

Conclusion

IVIS therapy was more clinically effective and cost-effective than OI therapy among pregnant women for management of moderate and severe anemia.

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Title: Cost-effectiveness analysis of parenteral iron therapy compared to oral iron supplements in managing iron deficiency anemia among pregnant women
Authors: Somen Saha
Devang Raval
Komal Shah
Deepak Saxena
Publication date: 01-12-2024
Publisher: Springer Berlin Heidelberg
Keyword: Anemia
Published in: Health Economics Review / Issue 1/2024
Electronic ISSN: 2191-1991
DOI: https://doi.org/10.1186/s13561-023-00474-3

At a glance: The STEP trials

Springer Medicine

Cost-effectiveness analysis of parenteral iron therapy compared to oral iron supplements in managing iron deficiency anemia among pregnant women

Abstract

Objective

Design

Outcome measures

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Objective

Design

Outcome measures

Results

Conclusion

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