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KMID : 1146320200080010043
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Journal of Health Technology Assessment
2020 Volume.8 No. 1 p.43 ~ p.47
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Cost-Effectiveness of Continuous Glucose Monitoring for Type 1 Diabetes Mellitus: Systematic Review
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Park Chong-Yeon
Jang Na-Ra
Kim Hee-Sun
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Abstract
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Objectives: Continuous glucose monitors (CGM) for patients with type 1 diabetes mellitus (T1DM) have been reimbursed from this year, However, there not enough evidence-based studies of the use of CGM from a cost-effective perspective. Thus, more evidence-based studies on cost-effectiveness are needed to provide sufficient evidence for CGM reimbursement. The study aims to evaluate cost-effectiveness of CGM, compared to disposable materials including blood glucose monitors for patients with type 1 diabetes.
Methods: To evaluate cost-effectiveness of CGM for patients with T1DM, four studies were extracted and analyzed.
Results: As a result of examining the four studies, the three reported CGM is cost-effective from a societal perspective, but the other found the use of CGM is not cost-effective from a payer’s perspective. The reviewed studies suggest that CGM is cost-effective if the following factors are satisfied such as more frequent use of censor and more parents’ support for pediatrics.
Conclusion: This study added the evidence of cost-effectiveness for the CGM to the existing literature in Korea. The decision on CGM reimbursement has to be made based on benefits from the patient-centeredness and Korean-specific health policy environment from the cost-effective perspective. Further study is recommended to show the cost-effectiveness of CGM usage with recent data or data reflecting health policy in Korea.
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KEYWORD
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Continuous blood glucose monitor for type 1 diabetes mellitus, Cost-effectiveness, Systematic reviews
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