Análisis bibliográfico de la eficacia, perfil de costo-efectividad y seguridad del protocolo de ITBS en pacientes con trastorno depresivo resistente al tratamiento para su potencial implementación en la Unidad de Servicios Especiales del Hospital Nacional de Salud Mental de Costa Rica
Fecha
2023-12-08
Tipo
tesis
Autores
Solano Agüero, Aarón Guillermo
Título de la revista
ISSN de la revista
Título del volumen
Editor
Resumen
Se realiza una revisión bibliográfica de los datos disponibles referente a la eficacia, seguridad,
efectos adversos y perfil de costo efectividad del procedimiento de iTBS para el tratamiento del
trastorno depresivo resistente al tratamiento. En la evidencia disponible se encuentra que en la
comparación directa no existe un criterio de inferioridad de iTBS con respecto a la aplicación de
rTMS, además de contar con un perfil similar de seguridad y efectos adversos. Hasta el momento
no existe una comparación directa entre el perfil de costo-efectividad entre la iTBS y rTMS, sin
embargo. Al presentar una menor duración del procedimiento muestra datos prometedores para su
aplicación futura en un servicio de salud pública, como lo es la Unidad de Servicios Especiales del
Hospital Nacional de Salud Mental.
A bibliographic review of the available data regarding the efficacy, safety, adverse effects and cost effectiveness profile of the iTBS procedure for the treatment of treatment-resistant depressive disorder is carried out. In the available evidence, it is found that in the direct comparison there is no criterion of inferiority of iTBS with respect to the application of rTMS, in addition to having a similar profile of safety and adverse effects. So far there is no direct comparison between the cost effectiveness profile between iTBS and rTMS, however. By presenting a shorter duration of the procedure, it shows promising data for its future application in a public health service, such as the Special Services Unit of the National Mental Health Hospital of Costa Rica.
A bibliographic review of the available data regarding the efficacy, safety, adverse effects and cost effectiveness profile of the iTBS procedure for the treatment of treatment-resistant depressive disorder is carried out. In the available evidence, it is found that in the direct comparison there is no criterion of inferiority of iTBS with respect to the application of rTMS, in addition to having a similar profile of safety and adverse effects. So far there is no direct comparison between the cost effectiveness profile between iTBS and rTMS, however. By presenting a shorter duration of the procedure, it shows promising data for its future application in a public health service, such as the Special Services Unit of the National Mental Health Hospital of Costa Rica.
Descripción
Palabras clave
Depresión resistente al tratamiento, Efectos Adversos, Estimulación Magnética Transcraneal, Hospital Nacional de Salud Mental, RTMS, Theta Burst Stimulaton, Costo-efectividad, Farmacoterapia, Neuroestimulación, Terapia Electroconvulsiva, COSTA RICA