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Cost effectiveness of guideline advice for children with asthma: A literature review by Talitha L. Feenstra; Maureen P.M.H. Rutten‐van Mölken; Johannes C. Jager; Liesbeth E.M. van Essen‐Zandvliet is a Medicine article available to read on EtoBox.

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## Abstract Asthma is an important chronic disease among children. This study reviews the cost effectiveness of interventions in the long‐term care of asthmatic children and compares these results with treatment advice in four current guidelines. Cost‐effectiveness studies were searched for in Medline, Embase, Healthstar, Biosis, and the Office of Health Economics‐Health Economic Evaluations Database (OHE‐HEED), and the Cochrane Library was searched for meta‐analyses of clinical trials. In the four reviewed guidelines, cost effectiveness is not explicitly used as a criterion. The cost‐effectiveness studies show sufficient evidence for the cost effectiveness of treatment with inhaled steroids and for self‐management programs for severe asthmatic patients. Inclusion of these results in the guidelines would not lead to significant changes in current treatment advice. The effectiveness of various measures for trigger avoidance is not fully proven, and hence neither is their cost effectiveness. Available information on the cost effectiveness of cromolyn could be used to focus the guidelines. Finally, evidence exists that organizational interventions, e.g., the employment of asthma nurse

Who reads Cost effectiveness of guideline advice for children with asthma: A literature review?

Author

Talitha L. Feenstra; Maureen P.M.H. Rutten‐van Mölken; Johannes C. Jager; Liesbeth E.M. van Essen‐Zandvliet

Publisher

John Wiley and Sons; Wiley (John Wiley & Sons); John Wiley & Sons Inc.; Wiley (ISSN 8755-6863)

Published

2002

Language

EN

Field

Medicine (Health Sciences)