Journal Article

Budget Impact of Early Introduction of Amino Acid Formula in Managing Infants with Cow Milk Protein Allergy: Arabian Gulf Countries’ Experience

Tzivinikos, Christos, Cremonesini, David, Miqdady, Mohamad, Al Hameli, Hamad, AlMutaeri, Saif, Alsawi, Najwa, Al Damerdash, Zainab, Al-Biltagi, Mohammed, Goronfolah, Loie, Hussain, Ahmad, Al-Enezi, Mohammed

2023

Overview

This study estimates the budgetary impact of the introduction of amino-acid formula (AAF) as first-line management in the elimination diet of infants with suspected cow milk protein allergy (CMPA) in the Kingdom of Saudi Arabia (KSA), Kuwait, and the United Arab Emirates (UAE) from a health-care payer's perspective. A global decision tree model was adapted to compare estimated costs in current practice (extensively hydrolyzed formula [eHF] or soy formula [SF] with the proposed approach of early introduction of AAF as first-line treatment of CMPA in non-breast-fed infants). Model inputs were derived from explorative literature reviews and medical experts' opinions. All costs were reported in local currency, ie, Saudi Riyal (SAR) for KSA, Kuwaiti Dinar (KWD) for Kuwait, and United Arab Emirates Dirham (AED) for the UAE. Cost savings with the early introduction of AAF were 10% (SAR 15102542) in KSA, 10% (KWD 306565) in Kuwait, 17% (AED 1842018) in the UAE government sector and 13% (AED 4232932) in the UAE private sector. The highest cost reduction was observed in the cost of soy formula (SF), with a 58% reduction both in KSA (SAR 4204540) and UAE public sector (AED 110331). A significant cost reduction in medication costs in Kuwait (37%; KWD 5630) and medical examination costs in the UAE private sector (50%; AED 1508918) was observed. Results indicated that the introduction of AAF as the first line in the management of CMPA is a cost-saving strategy for the Gulf Cooperation Council (GCC) countries-KSA, Kuwait, and UAE- from a health-care payer's perspective.

• Publisher: Dove Medical Press Limited,Taylor & Francis Ltd,Dove,Dove Medical Press
• Subject: 018) in the uae government sector and 13% (aed 4 / 10% (kwd 306 / 17% (aed 1 / 331). a significant cost reduction in medication costs in kuwait (37 / 540) and uae public sector (aed 110 / 542) in ksa / 565) in kuwait / 630) and medical examination costs in the uae private sector (50 / 918) was observed. conclusion: results indicated that the introduction of aaf as the first line in the management of cmpa is a cost-saving strategy for the gulf cooperation council (gcc) countries—ksa / 932) in the uae private sector. the highest cost reduction was observed in the cost of soy formula (sf / Adaptation / aed 1 / Allergic reaction / Allergies / Allergy / Amino acids / Analysis / Anaphylaxis / and the united arab emirates (uae) from a healthcare payer’s perspective. methods: a global decision tree model was adapted to compare estimated costs in current practice (extensively hydrolyzed formula [ehf] or soy formula [sf] with the proposed approach of early introduction of aaf as first-line treatment of cmpa in non-breast-fed infants. model inputs were derived from explorative literature reviews and medical experts’ opinions. all costs were reported in local currency / and uae— from a healthcare payer’s perspective / and united arab emirates dirham (aed) for the uae. results: cost savings with the early introduction of aaf were 10% (sar 15 / Babies / Baby foods / Breast feeding / Breastfeeding & lactation / Care and treatment / Costs / Cow's milk / Economic aspects / Food allergies / i.e / Infantile colic / Infants / kuwait / kuwaiti dinar (kwd) for kuwait / kwd 5 / Literature reviews / Milk / objective: this study estimates the budgetary impact of the introduction of amino-acid formula (aaf) as first-line management in the elimination diet of infants with suspected cow milk protein allergy (cmpa) in the kingdom of saudi arabia (ksa) / Original Research / Pediatrics / Proteins / Public sector / saudi riyal (sar) for ksa / Skin / with a 58% reduction both in ksa (sar 4