دورية أكاديمية

Cost-effectiveness of intensive atorvastatin therapy in secondary cardiovascular prevention in the United Kingdom, Spain, and Germany, based on the Treating to New Targets study.

التفاصيل البيبلوغرافية
العنوان: Cost-effectiveness of intensive atorvastatin therapy in secondary cardiovascular prevention in the United Kingdom, Spain, and Germany, based on the Treating to New Targets study.
المؤلفون: Taylor DC; i3 Innovus, 10 Cabot Road, Suite 304, Medford, MA 02155, USA. douglas.taylor@i3innovus.com, Pandya A, Thompson D, Chu P, Graff J, Shepherd J, Wenger N, Greten H, Carmena R, Drummond M, Weinstein MC
المصدر: The European journal of health economics : HEPAC : health economics in prevention and care [Eur J Health Econ] 2009 Jul; Vol. 10 (3), pp. 255-65. Date of Electronic Publication: 2008 Sep 18.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer-Verlag Country of Publication: Germany NLM ID: 101134867 Publication Model: Print-Electronic Cited Medium: Print ISSN: 1618-7598 (Print) Linking ISSN: 16187598 NLM ISO Abbreviation: Eur J Health Econ Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Berlin : Springer-Verlag, c2001-
مواضيع طبية MeSH: Anticholesteremic Agents/*economics , Anticholesteremic Agents/*therapeutic use , Cardiovascular Diseases/*drug therapy , Cardiovascular Diseases/*prevention & control , Heptanoic Acids/*economics , Heptanoic Acids/*therapeutic use , Pyrroles/*economics , Pyrroles/*therapeutic use, Anticholesteremic Agents/administration & dosage ; Atorvastatin ; Cost-Benefit Analysis ; Dose-Response Relationship, Drug ; Europe ; Heptanoic Acids/administration & dosage ; Humans ; Markov Chains ; Pyrroles/administration & dosage ; Quality-Adjusted Life Years
مستخلص: The Treating to New Targets (TNT) clinical trial found that intensive 80 mg atorvastatin (A80) treatment reduced cardiovascular events by 22% when compared to 10 mg atorvastatin (A10) treatment. We evaluated the cost-effectiveness of intensive A80 vs A10 treatment in the United Kingdom (UK), Spain, and Germany. A lifetime Markov model was developed to predict cardiovascular disease-related events, costs, survival, and quality-adjusted life-years (QALYs). Treatment-specific event probabilities were estimated from the TNT clinical trial. Post-event survival, health-related quality of life, and country-specific medical-care costs were estimated using published sources. Intensive treatment with A80 increased both the per-patient QALYs and corresponding costs of care, when compared to the A10 treatment, in all three countries. The incremental cost per QALY gained was 9,500, 21,000, and 15,000 in the UK, Spain, and Germany, respectively. Intensive A80 treatment is estimated to be cost-effective when compared to A10 treatment in secondary cardiovascular prevention.
المشرفين على المادة: 0 (Anticholesteremic Agents)
0 (Heptanoic Acids)
0 (Pyrroles)
A0JWA85V8F (Atorvastatin)
تواريخ الأحداث: Date Created: 20080919 Date Completed: 20090825 Latest Revision: 20181201
رمز التحديث: 20221213
DOI: 10.1007/s10198-008-0126-1
PMID: 18800232
قاعدة البيانات: MEDLINE
الوصف
تدمد:1618-7598
DOI:10.1007/s10198-008-0126-1