Cost-Effectiveness of Biologic Agents in the Treatment of Moderate-to-Severe Psoriasis: A Brazilian Public Health Service Perspective  Bruno Salgado Riveros,

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Cost-Effectiveness of Biologic Agents in the Treatment of Moderate-to-Severe Psoriasis: A Brazilian Public Health Service Perspective  Bruno Salgado Riveros, MSc, Patrícia Klarmann Ziegelmann, PhD, Cassyano Januário Correr, PhD  Value in Health Regional Issues  Volume 5, Pages 65-72 (December 2014) DOI: 10.1016/j.vhri.2014.09.002 Copyright © 2014 International Society for Pharmacoeconomics and Outcomes Research (ISPOR) Terms and Conditions

Fig. 1 Markov model for patients with moderate-to-severe psoriasis treated with biologics. PASI, Psoriasis Area Severity Index. Value in Health Regional Issues 2014 5, 65-72DOI: (10.1016/j.vhri.2014.09.002) Copyright © 2014 International Society for Pharmacoeconomics and Outcomes Research (ISPOR) Terms and Conditions

Fig. 2 Tornado diagram expressed in terms of ICER impact. (A) Etanercept (ETA) vs. adalimumab (ADA). (B) Infliximab (INF) vs. adalimumab. (C) Ustekinumab (UST) vs. adalimumab. ICER, incremental cost-effectiveness ratio. Value in Health Regional Issues 2014 5, 65-72DOI: (10.1016/j.vhri.2014.09.002) Copyright © 2014 International Society for Pharmacoeconomics and Outcomes Research (ISPOR) Terms and Conditions

Fig. 3 Time-horizon analysis from 1 to 5 years and its impact on the cost-effectiveness ratio. The horizontal line represents the time horizon expressed in years. Value in Health Regional Issues 2014 5, 65-72DOI: (10.1016/j.vhri.2014.09.002) Copyright © 2014 International Society for Pharmacoeconomics and Outcomes Research (ISPOR) Terms and Conditions

Fig. 4 Cost-effectiveness acceptability curve. Willingness to pay for each incremental case of PASI75 varies between R$50,000 and R$500,000. Value in Health Regional Issues 2014 5, 65-72DOI: (10.1016/j.vhri.2014.09.002) Copyright © 2014 International Society for Pharmacoeconomics and Outcomes Research (ISPOR) Terms and Conditions