This study aims to present the screening, prevalence and treatment of heart failure (HF) patients with iron deficiency in an Irish hospital and use an economic model to estimate the budget impact of treating eligible patients with intravenous ferric carboxymaltose (IV FCM). Retrospective data were collected on 151 HF patients over a one-year period from all newly referred HF patients to a secondary care hospital. This included 36 patients with preserved ejection fraction (HFpEF) and 115 with reduced ejection fraction (HPrEF). An existing budget impact model was adapted to incorporate Irish unit cost and resource use data to estimate the annual budget impact of treating patients with IV FCM. The total number of HFrEF patients who met criteria for iron replacement was 44 (38% of total HFrEF patients); of this, only nine (20%) were treated. The budget impact model estimates that treating all eligible patients with IV FCM in this single centre would save 40 bed-days and over €7,600/year. To improve the quality of life and reduce hospitalisation, further identification and treatment of iron deficient patients should be implemented. Expanding the use of IV iron nationally would be cost and bed saving.
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http://dx.doi.org/10.5837/bjc.2021.010 | DOI Listing |
BMJ Glob Health
January 2025
Department of Epidemiology, University of Washington School of Public Health, Seattle, Washington, USA.
Introduction: Oral pre-exposure prophylaxis (PrEP) is a priority intervention for scale-up in countries with high HIV prevalence. Policymakers must decide how to optimise PrEP allocation to maximise health benefits within limited budgets. We assessed the health and economic impact of PrEP scale-up among different subgroups and regions in western Kenya.
View Article and Find Full Text PDFEnviron Pollut
January 2025
State Key Laboratory of Environmental Criteria and Risk Assessment, Chinese Research Academy of Environmental Sciences, Beijing 100012, China. Electronic address:
As a vital precursor of hydroxyl radicals (OH), atmospheric nitrous acid (HONO) plays a significant role in tropospheric chemistry and the production of secondary pollutants. However, knowledge of its sources remains insufficient. To comprehensively investigate the HONO chemistry in polluted cities and alleviate the O pollution, based on a comprehensive HONO-related field campaign in Zibo City, on the North China Plain, the parameterized formulas of additional HONO sources were validated in a box model (based on the default MCMv3.
View Article and Find Full Text PDFPharmacoeconomics
January 2025
Belgian Health Care Knowledge Centre, Brussels, Belgium.
Background: Forecasting future public pharmaceutical expenditure is a challenge for healthcare payers, particularly owing to the unpredictability of new market introductions and their economic impact. No best-practice forecasting methods have been established so far. The literature distinguishes between the top-down approach, based on historical trends, and the bottom-up approach, using a combination of historical and horizon scanning data.
View Article and Find Full Text PDFJ Clin Med
January 2025
Department of Operative Gynecology, Federal State Budget Institution V. I. Kulakov Research Centre for Obstetrics, Gynecology, and Perinatology, Ministry of Health of the Russian Federation, 117997 Moscow, Russia.
: The diagnosis and treatment of endometriosis should be based on the best available evidence. Emphasising the risk of bias, the pyramid of evidence has the double-blind, randomised controlled trial and its meta-analyses on top. After the grading of all evidence by a group of experts, clinical guidelines are formulated using well-defined rules.
View Article and Find Full Text PDFSensors (Basel)
December 2024
Department of Civil and Environmental Engineering, Villanova University, 800 Lancaster Avenue, Villanova, PA 19085, USA.
The ability to track moisture content using soil moisture sensors in green stormwater infrastructure (GSI) systems allows us to understand the system's water management capacity and recovery. Soil moisture sensors have been used to quantify infiltration and evapotranspiration in GSI practices both preceding, during, and following storm events. Although useful, soil-specific calibration is often needed for soil moisture sensors, as small measurement variations can result in misinterpretation of the water budget and associated GSI performance.
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