The cost-effectiveness of blue-light therapy in the treatment of mild-to-moderate psoriasis

J Comp Eff Res. 2017 Jun;6(4):325-335. doi: 10.2217/cer-2017-0007. Epub 2017 Apr 28.

Abstract

Aim: To investigate the cost-effectiveness of blue-light therapy versus a two-compound formulation (TCF) (Dovobet® gel [calcipotriol and betamethasone]) in mild-to-moderate psoriasis.

Methods: A Markov model was applied to describe the course of disease among Dutch patients with a Psoriasis Area and Severity Index (PASI) score ≤ 10 over a 52-week time horizon. Patients received either 12-week blue-light therapy or two 4-week treatments with TCF. Patients, experiencing no PASI reduction after either therapy, were assumed to receive 12-week ultraviolet B phototherapy.

Results: There was no significant difference in PASI reduction between two interventions (71 vs 72%). However, blue-light therapy was associated with a cost savings of EU€248.

Conclusion: Treatment of mild-to-moderate chronic plaque psoriasis using blue-light therapy may be more cost-effective than TCF.

Keywords: Dovobet®; blue-light therapy; calcipotriol and betamethasone dipropionate gel; cost–effectiveness; mild-to-moderate psoriasis.

MeSH terms

  • Betamethasone / administration & dosage
  • Betamethasone / analogs & derivatives
  • Betamethasone / therapeutic use
  • Calcitriol / administration & dosage
  • Calcitriol / analogs & derivatives
  • Calcitriol / therapeutic use
  • Cost-Benefit Analysis / economics*
  • Cost-Benefit Analysis / statistics & numerical data*
  • Dermatologic Agents / administration & dosage
  • Dermatologic Agents / economics
  • Dermatologic Agents / therapeutic use
  • Drug Combinations
  • Gels
  • Humans
  • Markov Chains
  • Netherlands
  • Ointments
  • Phototherapy / economics*
  • Psoriasis / economics*
  • Psoriasis / therapy*
  • Severity of Illness Index

Substances

  • Dermatologic Agents
  • Drug Combinations
  • Gels
  • Ointments
  • betamethasone dipropionate, calcipotriol drug combination
  • Betamethasone
  • Calcitriol