Literature DB >> 8752184

Cost-effectiveness of pravastatin in secondary prevention of coronary artery disease.

T Ashraf1, J W Hay, B Pitt, E Wittels, J Crouse, M Davidson, C D Furberg, L Radican.   

Abstract

This study analyzed the cost-effectiveness of pravastatin in secondary prevention of coronary artery disease (CAD). The projected risk model in 445 male patients with established CAD and moderately elevated serum low-density lipoprotein cholesterol used results data from 2 placebo-controlled plaque regression trials: Pravastatin Limitation of Atherosclerosis in the Coronary Arteries and Pravastatin, Lipids, and Atherosclerosis in the Carotids. Framingham Heart Study data were used to project the risk of mortality 10 years after myocardial infarction (MI) for incremental male patients in the placebo group who had MI. A Markov process was used to estimate life-years saved, and decision analysis was used to estimate cost. Depending on the patient-risk profile, the midrange estimated cost per life-year saved with pravastatin in secondary prevention of CAD varied from $7,124 to $12,665, which is favorable compared with other widely accepted medical interventions.

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Year:  1996        PMID: 8752184     DOI: 10.1016/s0002-9149(96)00328-1

Source DB:  PubMed          Journal:  Am J Cardiol        ISSN: 0002-9149            Impact factor:   2.778


  21 in total

1.  Cost effectiveness of HMG-CoA reductase inhibitor (statin) treatment related to the risk of coronary heart disease and cost of drug treatment.

Authors:  D M Pickin; C J McCabe; L E Ramsay; N Payne; I U Haq; W W Yeo; P R Jackson
Journal:  Heart       Date:  1999-09       Impact factor: 5.994

2.  Secondary prevention of hypercholesterolaemia: results of an audit conducted in South Wales.

Authors:  L S Cozma; A Ogunko; A Rees
Journal:  Heart       Date:  2000-08       Impact factor: 5.994

Review 3.  The limited incorporation of economic analyses in clinical practice guidelines.

Authors:  Joel F Wallace; Scott R Weingarten; Chiun-Fang Chiou; James M Henning; Andriana A Hohlbauch; Margaret S Richards; Nicole S Herzog; Lior S Lewensztain; Joshua J Ofman
Journal:  J Gen Intern Med       Date:  2002-03       Impact factor: 5.128

Review 4.  A review of health care models for coronary heart disease interventions.

Authors:  K Cooper; S C Brailsford; R Davies; J Raftery
Journal:  Health Care Manag Sci       Date:  2006-11

Review 5.  Cost effectiveness of statins in coronary heart disease.

Authors:  Oscar H Franco; Anna Peeters; Caspar W N Looman; Luc Bonneux
Journal:  J Epidemiol Community Health       Date:  2005-11       Impact factor: 3.710

6.  Effectiveness calculation in economic analysis: the case of statins for cardiovascular disease prevention.

Authors:  Oscar H Franco; Ewout W Steyerberg; Anna Peeters; Luc Bonneux
Journal:  J Epidemiol Community Health       Date:  2006-10       Impact factor: 3.710

Review 7.  Economic evaluations of cholesterol-lowering drugs: a critical and systematic review.

Authors:  Pearl D Gumbs; Monique W M Verschuren; Aukje K Mantel-Teeuwisse; Ardine G de Wit; Anthonius de Boer; Olaf H Klungel
Journal:  Pharmacoeconomics       Date:  2007       Impact factor: 4.981

8.  A pharmacoeconomic evaluation of statins in the treatment of hypercholesterolaemia in the primary care setting in Spain.

Authors:  Pedro J Tárraga-López; Angel Celada-Rodríguez; Miguel Cerdán-Oliver; Juan Solera-Albero; José M Ocaña-López; Mateo A López-Cara; Jaime De Miguel-Clave
Journal:  Pharmacoeconomics       Date:  2005       Impact factor: 4.981

Review 9.  Pravastatin. A pharmacoeconomic review of its use in primary and secondary prevention of coronary heart disease.

Authors:  A J Coukell; M I Wilde
Journal:  Pharmacoeconomics       Date:  1998-08       Impact factor: 4.981

10.  The cost of reaching National Cholesterol Education Program (NCEP) goals in hypercholesterolaemic patients. A comparison of atorvastatin, simvastatin, lovastatin and fluvastatin.

Authors:  M J Koren; D G Smith; D B Hunninghake; M H Davidson; J M McKenney; S R Weiss; H G Schrott; R W Henley; P Tresh; R W McLain; R G Bakker-Arkema; D M Black
Journal:  Pharmacoeconomics       Date:  1998-07       Impact factor: 4.981

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