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Decision Analysis of the Cost-Effectiveness of Repetitive Transcranial Magnetic Stimulation Versus Electroconvulsive Therapy for Treatment of Nonpsychotic Severe Depression

Published online by Cambridge University Press:  07 November 2014

F. Andrew Kozel ,
Mark S. George  and
Kit N. Simpson
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Abstract

Background: Repetitive transcranial magnetic stimulation (rTMS) is a new treatment with promise for resistant depression.

Objective: We tested the economic feasibility of this new method compared with electroconvulsive therapy (ECT).

Method: An economic decision analysis was used to compare the costs of three different treatment strategies for nonpsychotic severe depression. The strategies were: ECT alone; rTMS alone; and rTMS followed by ECT for nonresponders (rTMS-to-ECT). We calculated 12-month costs and quality adjusted life years (QALYs) for the three treatment options for all nonpsychotic, severely depressed United States patients who would have otherwise undergone ECT. A sensitivity analysis was performed to test the degree of change in outcome with various parameter changes.

Type
Original Research
Information
CNS Spectrums , Volume 9 , Issue 6 , June 2004 , pp. 476 - 482
Copyright
Copyright © Cambridge University Press 2004

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