Utility loss and indirect costs following cardiovascular events in hypertensive patients:: the ASCOT health economic substudy

被引:24
作者
Lindgren, Peter [2 ]
Kahan, Thomas [1 ]
Poulter, Neil [3 ]
Buxton, Martin [4 ]
Svarvar, Patrick [5 ]
Dahlof, Bjorn [6 ]
Jonsson, Bengt [7 ]
机构
[1] Danderyd Hosp, Karolinska Inst, Stockholm, Sweden
[2] European Hlth Econ, S-11120 Stockholm, Sweden
[3] Univ London Imperial Coll Sci Technol & Med, London, England
[4] Brunel Univ, Uxbridge UB8 3PH, Middx, England
[5] Pfizer Inc, New York, NY USA
[6] Sahlgrens Univ Hosp, S-41345 Gothenburg, Sweden
[7] Stockholm Sch Econ, Ctr Hlth Econ, S-11383 Stockholm, Sweden
关键词
cardiovascular disease; costs; quality of life; Sweden;
D O I
10.1007/s10198-006-0002-9
中图分类号
F [经济];
学科分类号
02 ;
摘要
This study assessed the loss of utility and indirect costs associated with first cardiovascular events. Data was collected (using EQ-5D) prospectively at 3, 6, and 12 months following an event in the Swedish part of the Anglo-Scandinavian cardiac outcomes trial (ASCOT), including patients with mild to moderate hypertension and additional risk factors. Sixty patients were eligible for analysis. An event was associated with a one-year utility loss of 0.075 (95% CI: 0.038-0.114). For a stroke, the reduction was 0.1.45 (CI: 0.059-0.249) and for acute coronary syndromes (myocardial infarction or unstable angina) the loss was 0.051 (-0.003 to 0.103). The utility at baseline was no different to the utility in a control group. The indirect cost over the first 12 months (2003 Swedish Kronor, SEK) was 90028 SEK (CI: 46027-146754), 9866 E for patients in the workforce. These results are helpful in future economic evaluations of primary preventive measures in cardiovascular medicine.
引用
收藏
页码:25 / 30
页数:6
相关论文
共 20 条
[1]  
[Anonymous], 2004, GUID METH TECHN APPR
[2]   EuroQol: The current state of play [J].
Brooks, R .
HEALTH POLICY, 1996, 37 (01) :53-72
[3]   Swedish population health-related quality of life results using the EQ-5D [J].
Burström, K ;
Johannesson, M ;
Diderichsen, F .
QUALITY OF LIFE RESEARCH, 2001, 10 (07) :621-635
[4]   Estimating utility values for health states of type 2 diabetic patients using the EQ-5D (UKPDS 62) [J].
Clarke, P ;
Gray, A ;
Holman, R .
MEDICAL DECISION MAKING, 2002, 22 (04) :340-349
[5]   Prevention of cardiovascular events with an antihypertensive regimen of amlodipine adding perindopril as required versus atenolol adding bendroflumethiazide as required, in the Anglo-Scandinavian Cardiac Outcomes Trial-Blood Pressure Lowering Arm (ASCOT-BPLA):: a multicentre randomised controlled trial [J].
Dahlöf, B ;
Sever, PS ;
Poulter, NR ;
Wedel, H ;
Beevers, DG ;
Caulfield, M ;
Collins, R ;
Kjeldsen, SE ;
Kristinsson, A ;
McInnes, GT ;
Mehlsen, J ;
Nieminen, M ;
O'Brien, E ;
Östergren, J .
LANCET, 2005, 366 (9489) :895-906
[6]   Modelling valuations for EQ-5D health states - An alternative model using differences in valuations [J].
Dolan, P ;
Roberts, J .
MEDICAL CARE, 2002, 40 (05) :442-446
[7]   Are the modified "simple questions" a valid and reliable measure of health related quality of life after stroke? [J].
Dorman, P ;
Dennis, M ;
Sandercock, P .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 2000, 69 (04) :487-493
[8]  
Efron B., 1993, INTRO BOOTSTRAP MONO, DOI DOI 10.1201/9780429246593
[9]   The effects of cardiac events on quality of life and indirect costs [J].
Jönsson, B ;
Buxton, M ;
Kahan, T ;
Poulter, NR ;
Svarvar, P .
JOURNAL OF HUMAN HYPERTENSION, 2001, 15 (Suppl 1) :S91-S93
[10]   Cost-effectiveness of atorvastatin for the prevention of coronary and stroke events:: an economic analysis of the Anglo-Scandinavian Cardiac Outcomes Trial lipid-lowering arm (ASCOT-LLA) [J].
Lindgren, P ;
Buxton, M ;
Kahan, T ;
Poulter, NR ;
Dahlöf, B ;
Sever, PS ;
Wedel, H ;
Jönsson, B .
EUROPEAN JOURNAL OF CARDIOVASCULAR PREVENTION & REHABILITATION, 2005, 12 (01) :29-36