Journal article
The Cost Effectiveness of Naltrexone Added to Cognitive-Behavioral Therapy in the Treatment of Alcohol Dependence
Journal of Addictive Diseases, Vol.28(2), pp.137-144
2009
PMID: 19340676
Abstract
The purpose of this study was to evaluate the comparative cost of treating alcohol dependence with either cognitive behavioral therapy (CBT) alone or CBT combined with naltrexone (CBT+naltrexone). Two hundred ninety-eight outpatients dependent on alcohol who were consecutively treated for alcohol dependence participated in this study. One hundred seven (36%) patients received adjunctive pharmacotherapy (CBT+naltrexone). The Drug Abuse Treatment Cost Analysis Program was used to estimate treatment costs. Adjunctive pharmacotherapy (CBT+naltrexone) introduced an additional treatment cost and was 54% more expensive than CBT alone. When treatment abstinence rates (36.1% CBT; 62.6% CBT+naltrexone) were applied to cost effectiveness ratios, CBT+naltrexone demonstrated an advantage over CBT alone. There were no differences between groups on a preference-based health measure (SF-6D). In this treatment center, to achieve 100 abstainers over a 12-week program, 280 patients require CBT compared with 160 CBT+naltrexone. The dominant choice was CBT+naltrexone based on modest economic advantages and significant efficiencies in the numbers needed to treat.
Details
- Title
- The Cost Effectiveness of Naltrexone Added to Cognitive-Behavioral Therapy in the Treatment of Alcohol Dependence
- Authors
- David Walters (Author) - Private PracticeJason P Connor (Author) - Princess Alexandra HospitalGerald F. X Feeney (Author) - Princess Alexandra HospitalRoss Young (Author) - Queensland University of Technology
- Publication details
- Journal of Addictive Diseases, Vol.28(2), pp.137-144
- Publisher
- Routledge
- DOI
- 10.1080/10550880902772456
- ISSN
- 1545-0848
- PMID
- 19340676
- Organisation Unit
- Office of the Deputy Vice-Chancellor (Research and Innovation); University of the Sunshine Coast, Queensland
- Language
- English
- Record Identifier
- 99551002402621
- Output Type
- Journal article
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- Domestic collaboration
- Web Of Science research areas
- Substance Abuse
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Source: InCites