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Table 3 Monitoring and drugs costs (US$ and PPP-adjusted US$) for treatment of genotype-1 patient with chronic hepatitis C according to different regimens recommended by the BMoH from 2011 to 2015

From: Micro-costing analysis of guideline-based treatment by direct-acting agents: the real-life case of hepatitis C management in Brazil

 

PEG-RBV

PEG-RBV/BOC

PEG-RBV/TEL

SOF/DCV

SOF/SIM

 

US$

PPP$

US$

PPP$

US$

PPP$

US$

PPP$

US$

PPP$

TE

–

–

53.35

95.32

53.35

95.32

53.35

95.32

53.35

95.32

Liver biopsy

482.32

834.41

–

–

–

–

–

–

–

–

Total

482.32

834.41

53.35

95.32

53.35

95.32

53.35

95.32

53.35

95.32

Blood analysis tests

 WBC. RBC and platelet

159.39

286.72

180.64

324.95

170.02

305.84

63.76

114.69

63.76

114.69

 Fasting glucose

29.20

52.52

29.20

52.52

29.20

52.52

29.20

52.52

29.20

52.52

 BUN/creatinine

72.58

130.56

77.41

139.26

72.58

130.56

29.03

52.22

29.03

52.22

 ALT

72.78

130.92

77.63

139.65

72.78

130.92

29.11

52.37

29.11

52.37

 AST

72.91

131.16

77.78

139.91

72.91

131.16

29.17

52.47

29.17

52.47

 AP

28.61

51.46

28.61

51.46

28.61

51.46

28.61

51.46

28.61

51.46

 GGT

28.99

52.15

28.99

52.15

28.99

52.15

28.99

52.15

28.99

52.15

 Total bilirubin

29.04

52.24

29.04

52.24

29.04

52.24

29.04

52.24

29.04

52.24

 Albumin

30.44

54.75

30.44

54.75

30.44

54.75

30.44

54.75

30.44

54.75

 INR

40.10

72.14

86.89

156.30

93.57

168.32

40.10

72.14

40.10

72.14

 HCV genotype

156.33

281.22

156.33

281.22

156.33

281.22

156.33

281.22

156.33

281.22

 HCV-RNA

696.43

1252.80

609.38

1096.20

609.38

1096.20

174.11

313.20

174.11

313.20

 TSH

157.55

283.41

157.55

283.41

157.55

283.41

 

–

 

–

 Beta-hCG

182.07

327.53

182.07

327.53

182.07

327.53

182.07

327.53

182.07

327.53

Total

1756.41

3159.58

1751.94

3151.54

1733.45

3118.27

849.94

1528.95

849.94

1528.95

Medical follow-up

 GP’s medical visit

54.54

98.11

54.54

98.11

54.54

98.11

54.54

98.11

54.54

98.11

 Specialist’s visit

880.95

1584.73

880.95

1584.73

880.95

1584.73

314.62

565.97

314.62

565.97

 Blood sample

567.52

1020.90

567.52

1020.90

567.52

1020.90

227.01

408.36

227.01

408.36

 Nursing consultation

159.15

286.29

159.15

286.29

159.15

286.29

127.32

229.03

127.32

229.03

Total

1662.15

2990.02

1662.15

2990.02

1662.15

2990.02

723.49

1301.47

723.49

1301.47

Drugs

 PEG-IFN 180 mcg

17,290.59

31,103.78

17,290.59

31,103.78

17,290.59

31,103.78

–

–

–

–

 Ribavirin 250 mg

2828.69

5088.49

2828.69

5088.49

2828.69

5088.49

–

–

–

–

 Boceprevir 200 mg

–

–

15,991.51

28,766.88

–

–

–

–

–

–

 Telaprevir 375 mg

–

–

–

–

24,378.69

43,854.45

–

–

–

–

 Sofosbuvir 400 mg

–

–

–

–

–

–

6765.68

12,170.68

6765.68

12,170.68

 Daclastavir 60 mg

–

–

–

–

–

–

2593.44

4665.30

–

–

 Simeprevir 150 mg

–

–

–

–

–

–

–

–

3610.29

6494.49

Total

20,119.28

36,192.27

36,110.79

64,959.15

44,497.97

80,046.72

9359.12

16,835.98

10,375.97

18,665.17

TOTAL COST

24,020.16

43,176.28

39,578.23

71,196.03

47,946.92

86,250.33

10,985.90

19,761.72

12,002.75

21,590.91

  1. Costs in United States Dollars (US$) and with purchasing power parity (PPP$) on July 2015. Drug costs estimated as the weighted-mean price (http://www.saude.gov.br/bps)
  2. PEG-IFN peginterferon, WBC white blood cell, RBC red blood cell, BUN blood urea nitrogen, ALT alanine aminotransferase, AST aspartate aminotransferase, AP alkaline phosphatases, GGT gamma-glutamyl transpeptidase, INR international normalized ratio, TSH thyroid-stimulating hormone, hCG human chorionic gonadotropin, GP general practicioner
  3. Treatment regimens according to BMoH guidelines: PEG-RBV 48w [BMoH-2011]; PEG-RBV (48w)/BOC 44w [BMoH-2013A]; PEG-RBV (48w)/TEL (12w) [BMoH-2013B]; SOF/DCV 12w [BMoH-2015A] and SOF/SIM 12w [BMoH-2015B]