Cost-effectiveness analysis of statins for the treatment of hospitalized COVID-19 patients Journal Article


Authors: Chow, R.; Simone, C. B. 2nd; Prsic, E. H.; Shin, H. J.
Article Title: Cost-effectiveness analysis of statins for the treatment of hospitalized COVID-19 patients
Abstract: Background: A recent systematic review and meta-analysis reporting on thirteen published cohorts investigating 110,078 patients demonstrated that patients who were administered statins after their COVID-19 diagnosis and hospitalization were had a lower risk of mortality. While these findings are encouraging, given competing COVID-19 treatment approaches, it is unclear if statin use should be prioritized and if its use is a cost-effective treatment options for hospitalized COVID-19 patients. In this study, we report on a cost-effectiveness analysis of statin-containing treatment regimens for hospitalized COVID-19 patients. Methods: A Markov model was used to compare statin use and no statin use among hospitalized COVID-19 patients from a United States healthcare perspective. The cycle length was one week, with a time horizon of 4 weeks. A Monte Carlo microsimulation with 20,000 samples were used. All analyses were conducted using TreeAge Pro Healthcare Version 2021 R1.1. Results: The mean cost for patients receiving statins in addition to usual care was $31,623 (SD $20,331), whereas the mean cost for patients not receiving statins was $33,218 (SD $25,440). The mean effectiveness for the two cohorts were 1.73 (SD 0.96) and 1.71 (SD 1.00), respectively. Conclusions: This analysis demonstrated that treatment of hospitalized COVID-19 patients with statins was both cheaper and more effective than treatment without statins; statin-containing therapy dominates over non-statin therapy. Statin medications for the treatment of COVID-19 should be further investigated in randomized controlled trials, especially considering its cost-effective nature. Optimistically and pending the results of future randomized trials, statins should be considered for use broadly for the treatment of hospitalized COVID-19 patients. © Annals of Palliative Medicine. All rights reserved.
Keywords: survival; hospitalization; cost-effectiveness analysis; statins; covid-19
Journal Title: Annals of Palliative Medicine
Volume: 11
Issue: 7
ISSN: 2224-5820
Publisher: AME Publishing Company  
Date Published: 2022-07-01
Start Page: 2285
End Page: 2290
Language: English
DOI: 10.21037/apm-21-2797
PUBMED: 35400155
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 1 September 2022 -- Source: Scopus
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  1. Charles Brian Simone
    190 Simone
  2. Ronald Chow
    13 Chow