A concise review of the cost-effectiveness of coronary heart disease prevention

被引:14
作者
Brown, AID
Garber, AM
机构
[1] Stanford Univ, Ctr Primary Care & Outcomes Res, Ctr Hlth Policy, Stanford, CA 94305 USA
[2] Univ Oxford, Dept Publ Hlth & Primary Care, Oxford OX3 7LF, England
[3] Univ Toronto, Dept Hlth Adm, Toronto, ON M5S 1A1, Canada
[4] Vet Affairs Palo Alto Hlth Care Syst, Stanford, CA USA
关键词
D O I
10.1016/S0025-7125(05)70219-4
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Coronary heart disease is one of the largest sources of morbidity, mortality, and health care expenditure in the United States. This article reviews a number of studies that estimate the cost per unit of health benefits associated with different primary and secondary prevention strategies for coronary heart disease. Although prevention does not provide a panacea for rising health care spending, many preventive strategies are cost-effective when compared to other common clinical interventions. Prevention should be incorporated into regular clinical practice.
引用
收藏
页码:279 / +
页数:20
相关论文
共 93 条
[1]  
Ades P A, 1997, J Cardiopulm Rehabil, V17, P222, DOI 10.1097/00008483-199707000-00002
[2]   THE COST-EFFECTIVENESS OF 3 SMOKING CESSATION PROGRAMS [J].
ALTMAN, DG ;
FLORA, JA ;
FORTMANN, SP ;
FARQUHAR, JW .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1987, 77 (02) :162-165
[3]  
ANDERSON RN, 1997, MONTHLY VITAL STA S2, V45, P80
[4]   DISCONTINUATION OF ANTIHYPERLIPIDEMIC DRUGS - DO RATES REPORTED IN CLINICAL-TRIALS REFLECT RATES IN PRIMARY-CARE SETTINGS [J].
ANDRADE, SE ;
WALKER, AM ;
GOTTLIEB, LK ;
HOLLENBERG, NK ;
TESTA, MA ;
SAPERIA, GM ;
PLATT, R .
NEW ENGLAND JOURNAL OF MEDICINE, 1995, 332 (17) :1125-1131
[5]   Cost-effectiveness of Pravastatin in secondary prevention of coronary artery disease [J].
Ashraf, T ;
Hay, JW ;
Pitt, B ;
Wittels, E ;
Crouse, J ;
Davidson, M ;
Furberg, CD ;
Radican, L .
AMERICAN JOURNAL OF CARDIOLOGY, 1996, 78 (04) :409-414
[6]  
AVINS A, 1997, ANN INTERN MED, V125, P502
[7]  
Baxter T, 1997, BMJ-BRIT MED J, V315, P582, DOI 10.1136/bmj.315.7108.582
[8]   IS ELEVATED SERUM-CHOLESTEROL LEVEL A RISK FACTOR FOR CORONARY HEART-DISEASE IN THE ELDERLY [J].
BENFANTE, R ;
REED, D .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1990, 263 (03) :393-396
[9]  
BERWICK DM, 1981, PEDIATRICS, V68, P721
[10]  
*BLUE CROSS BLUE S, 1999, IN PRESS BLUE CROSS