Cost-effectiveness and budget impact of specialized psychotherapy for borderline personality disorder: A synthesis of the evidence

P. Wetzelaer, J. Lokkerbol, A. Arntz, T. Van Asselt, F. Smit, S. Evers

Research output: Contribution to journalArticleAcademicpeer-review

7 Citations (Scopus)

Abstract

We present a method for the synthesis of evidence for cost-effectiveness and budget impact analysis with a specific application to specialized outpatient psychotherapy for borderline personality disorder in the Netherlands. Following a systematic literature search, a model-based economic evaluation is performed in which simulated patient-level data are used to provide overall estimates of the incremental costs and incremental effects. These are then used to assess the cost-effectiveness and budget impact of specialized outpatient psychotherapy for borderline personality disorder in the Netherlands. The results indicate that specialized outpatient psychotherapy for BPD can be considered cost-effective and that its scaling up to Dutch national level would require an investment of € 2.367 million (95% C.I.: € 1,717,000 - € 3,272,000) per 1,000 additional patients with BPD. Sensitivity analyses demonstrated the robustness of our findings, but also their sensitivity to the choice of included studies based on the comparator condition.

Original languageEnglish
Pages (from-to)177-190
Number of pages14
Journaljournal of mental health policy and economics
Volume20
Issue number4
Publication statusPublished - 1 Dec 2017

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