Cost-effectiveness of current and optimal treatment for schizophrenia

Gavin Andrews; Kristy Sanderson; Justine Corry; Cathy Issakidis; Helen Lapsley

doi:10.1192/bjp.183.5.427

Cost-effectiveness of current and optimal treatment for schizophrenia

Gavin Andrews, Kristy Sanderson, Justine Corry, Cathy Issakidis, Helen Lapsley

Research output: Contribution to journal › Article › peer-review

Abstract

Background: This paper is part of a project to identify the proportion of the burden of each mental disorder averted by current and optimal interventions, and the cost-effectiveness of both.

Aims: To use epidemiological data on schizophrenia to model the cost-effectiveness of current and optimal treatment.

Method: Calculate the burden of schizophrenia in the years lived with disability (YLD) component of disability-adjusted life-years lost, the proportion averted by current interventions, the proportion that could be averted by optimal treatment and the cost-effectiveness of both.

Results: Current interventions avert some 13% of the burden, whereas 22% could be averted by optimal treatment. Current interventions cost about AUS$200 000 per YLD averted, whereas optimal treatment at a similar cost could increase the number of YLDs averted by two-thirds. Even so, the majority of the burden of schizophrenia remains unavertable.

Conclusions: Optimal treatment is affordable within the present budget and should be implemented.

Original language	English
Pages (from-to)	427-435
Number of pages	9
Journal	British Journal of Psychiatry
Volume	183
DOIs	https://doi.org/10.1192/bjp.183.5.427
Publication status	Published - Nov 2003

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10.1192/bjp.183.5.427

Cite this

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title = "Cost-effectiveness of current and optimal treatment for schizophrenia",

abstract = "Background: This paper is part of a project to identify the proportion of the burden of each mental disorder averted by current and optimal interventions, and the cost-effectiveness of both.Aims: To use epidemiological data on schizophrenia to model the cost-effectiveness of current and optimal treatment.Method: Calculate the burden of schizophrenia in the years lived with disability (YLD) component of disability-adjusted life-years lost, the proportion averted by current interventions, the proportion that could be averted by optimal treatment and the cost-effectiveness of both.Results: Current interventions avert some 13% of the burden, whereas 22% could be averted by optimal treatment. Current interventions cost about AUS$200 000 per YLD averted, whereas optimal treatment at a similar cost could increase the number of YLDs averted by two-thirds. Even so, the majority of the burden of schizophrenia remains unavertable.Conclusions: Optimal treatment is affordable within the present budget and should be implemented.",

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T1 - Cost-effectiveness of current and optimal treatment for schizophrenia

AU - Andrews, Gavin

AU - Sanderson, Kristy

AU - Corry, Justine

AU - Issakidis, Cathy

AU - Lapsley, Helen

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AB - Background: This paper is part of a project to identify the proportion of the burden of each mental disorder averted by current and optimal interventions, and the cost-effectiveness of both.Aims: To use epidemiological data on schizophrenia to model the cost-effectiveness of current and optimal treatment.Method: Calculate the burden of schizophrenia in the years lived with disability (YLD) component of disability-adjusted life-years lost, the proportion averted by current interventions, the proportion that could be averted by optimal treatment and the cost-effectiveness of both.Results: Current interventions avert some 13% of the burden, whereas 22% could be averted by optimal treatment. Current interventions cost about AUS$200 000 per YLD averted, whereas optimal treatment at a similar cost could increase the number of YLDs averted by two-thirds. Even so, the majority of the burden of schizophrenia remains unavertable.Conclusions: Optimal treatment is affordable within the present budget and should be implemented.

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