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Table 1 The characteristics of included studies in the present review

From: Cost-effectiveness of remdesivir for the treatment of hospitalized patients with COVID-19: a systematic review

Author name (year of publication)

Setting

Comparators

Population

Type of economic evaluation(model)

Perspective

Time horizon

Discount rate(%)

Sensitivity analyses

Costing year

Whittington (2022)

US

- Remdesivir + SoC (dexamethasone)

- SoC

Hospitalized patients with COVID-19

CUA (Markov)

US healthcare sector

Lifetime

3

Yes, one-way, two-way and PSA

2020

Rafia (2022)

England and wales

- Remdesivir

- SoC

Hospitalized patients with COVID-19

CUA (Decision –analysis model)

NHS/personal social services (payer)

Lifetime

3.5

Yes, DSA and PSA

NR

Kelton (2022)

US

-Baricitinib + Remdesivir

- Remdesivir

Hospitalized patients with COVID-19

CUA (Markov)

Payer and hospital

Lifetime

3

Yes, DSA and PSA

NR

Dijk (2022)

US

- Hydroxychloroquine

- Remdesivir

- Casirivimab-Imdevimab

- Dexamethasone

- Baricitinib + Remdesivir

- Tocilizumab

- Lopinavir-ritonavir

-  Interferon beta-1a

- Usual care

Hospitalized patients with COVID-19

CUA (state-transition model )

US health care

Lifetime

3

Yes, PSA

2020

Jo (2021)

South Africa

(1) Remdesivir administered to nonventilated patients and dexamethasone administered to ventilated patients,

(2) dexamethasone alone administered to both nonventilated and ventilated patients,

(3) Remdesivir administered to nonventilated patients only

(4) dexamethasone administered to ventilated patients only, all relative to standard of ICU care

COVID patients

CEA

Health care system

Between august 2020 and January 2021

5 for the capital asset (e.g. ventilators)

Yes, One-way, 3-way and PSA

2020

Jiang (2021)

-Remdesivir-SoC

Sever COVID-19 patients

CUA (dynamic compartment transmission model)

Health care system

55-day

NA

Yes, One-way and PSA

2020

 

Okuz (2021)

Turkey

- Remdesivir

- SoC

COVID-19 patients hospitalized with ≤ 94% saturation and low-flow oxygen therapy requirement.

CUA (cost-effectiveness model)

Payer

A COVID-19 episode time

NA

Yes, PSA

2020

Ohsfeldt (2021)

US

- Baricitinib + SOC

- SOC alone (which included systemic corticosteroids and Remdesivir)

Hospitalized patients with COVID-19

CEA and CUA (Markov)

Third-payer and hospital

Lifetime

3

Yes, one-way and PSA

2020

Congly (2021)

US

Supportive care, Dexamethasone severe, Dexamethasone all, Remdesivir severe, Remdesivir moderate, Remdesivir moderate, dexamethasone severe, Remdesivir all

Moderate to severe COVID-19 patients

CUA (decision tree)

Payer

One year

NA

Yes, univariate and PSA

2020

Carta (2021)

US

- SoC

- Dexamethasone

- Remdesivir

- Remdesivir + dexamethasone

Hospitalized COVID-19 patients

CUA (decision tree)

Health care system

One year

NA

Yes, One-way and PSA

NR

Wu (2021)

US

Remdesivir + SoC vs. SoC

Hospitalized, adult patient with COVID-19

CUA (Decision tree)

Provider (hospital)

30 days

NA

No

2020

Whittington (2020)

US

- Remdesivir plus SoC

- SoC

Hospitalizes patients with COVID-19

CEA and CUA (decision tree and Markov)

Health care system

Lifetime

3

Yes, scenario analysis

2020

  1. SoC Standard of care, CEA Cost-effectiveness analysis, CUA Cost-utility analysis, DSA Deterministic sensitivity analysis, PSA Probabilistic sensitivity analysis, NA Not applicable, NR Not reported, Supportive care: The SC was taken into consideration for patients who received neither therapy as a comparator