Drug-Eluting Stents More Dollars Than Sense?

被引:2
作者
Garg, Sunil [1 ,2 ]
Eisenberg, Mark J. [2 ,3 ,4 ]
机构
[1] McGill Univ, Div Cardiol, Ctr Hlth, Montreal, PQ H3T 1E2, Canada
[2] McGill Univ, Dept Epidemiol Biostat & Occupat Hlth, Jewish Gen Hosp, Montreal, PQ H3T 1E2, Canada
[3] McGill Univ, Div Cardiol, Jewish Gen Hosp, Montreal, PQ H3T 1E2, Canada
[4] McGill Univ, Div Clin Epidemiol, Jewish Gen Hosp, Montreal, PQ H3T 1E2, Canada
关键词
cost-effectiveness; drug-eluting stents; target vessel revascularization; QALY; quality-adjusted life year; CORONARY-ARTERY LESIONS; COST-EFFECTIVENESS; TRIAL;
D O I
10.1016/j.jcin.2009.11.001
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The clinical and economic analysis by Eisenstein et al. (1) in this issue of JACC- Cardiovascular Interventions is a welcome addition to the collective literature on the cost-effectiveness of drug-eluting stents (DES). There are limited trial data regarding this topic, and most appraisals have been based on registry assessments. Eisenstein et al. (1) present the long-term clinical and economic analysis of a trial comparing a DES (zotarolimus, Endeavor, Medtronic CardioVascular, Santa Rosa, California) versus a bare-metal stent (BMS) (Driver, Medtronic CardioVascular). The Inclusion of data up to 4 years post-index procedure is particularly important given concerns with late stent thrombosis with DES.
引用
收藏
页码:1188 / 1189
页数:2
相关论文
共 6 条
[1]   A hierarchical Bayesian meta-analysis of randomised clinical trials of drug-eluting stents [J].
Babapulle, MN ;
Joseph, L ;
Bélisle, P ;
Brophy, JM ;
Eisenberg, MJ .
LANCET, 2004, 364 (9434) :583-591
[2]   Cost effectiveness of paclitaxel-eluting stents for patients undergoing percutaneous coronary revascularization - Results from the TAXUS-IV trial [J].
Bakhai, Ameet ;
Stone, Gregg W. ;
Mahoney, Elizabeth ;
Lavelle, Tara A. ;
Shi, Chunxue ;
Berezin, Ronna H. ;
Lahue, Betsy J. ;
Clark, Mary Ann ;
Lacey, Michael J. ;
Russell, Mary E. ;
Ellis, Stephen G. ;
Hermiller, James B. ;
Cox, David A. ;
Cohen, David J. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2006, 48 (02) :253-261
[3]   Cost-effectiveness of sirolimus-eluting stents for treatment of complex coronary stenoses - Results from the sirolimus-eluting balloon expandable stent in the treatment of patients with de novo native coronary artery lesions (SIRIUS) trial [J].
Cohen, DJ ;
Bakhai, A ;
Shi, CX ;
Githiora, L ;
Lavelle, T ;
Berezin, RH ;
Leon, MB ;
Moses, JW ;
Carrozza, JP ;
Zidar, JP ;
Kuntz, RE .
CIRCULATION, 2004, 110 (05) :508-514
[4]   Long-Term Clinical and Economic Analysis of the Endeavor Drug-Eluting Stent Versus the Driver Bare-Metal Stent 4-Year Results From the ENDEAVOR II Trial (Randomized Controlled Trial to Evaluate the Safety and Efficacy of the Medtronic AVE ABT-578 Eluting Driver Coronary Stent in De Novo Native Coronary Artery Lesions) [J].
Eisenstein, Eric L. ;
Wijns, William ;
Fajadet, Jean ;
Mauri, Laura ;
Edwards, Rex ;
Cowper, Patricia A. ;
Kong, David F. ;
Anstrom, Kevin J. .
JACC-CARDIOVASCULAR INTERVENTIONS, 2009, 2 (12) :1178-1187
[5]   Randomized, double-blind, multicenter study of the Endeavor zotarolimus-eluting phosphorylcholine encapsulated stent for treatment of native coronary artery lesions:: Clinical and angiographic results of the ENDEAVOR II trial [J].
Fajadet, Jean ;
Wijns, William ;
Laarman, Gert-Jan ;
Kuck, Karl-Heinz ;
Ormiston, John ;
Munzel, Thomas ;
Popma, Jeffrey J. ;
Fitzgerald, Peter J. ;
Bonan, Raoul ;
Kuntz, Richard E. .
CIRCULATION, 2006, 114 (08) :798-806
[6]   Cost-Effectiveness of Drug-Eluting Stents Including the Economic Impact of Late Stent Thrombosis [J].
Filion, Kristian B. ;
Roy, Arup Michael ;
Baboushkin, Tara ;
Rinfret, Stephane ;
Eisenberg, Mark J. .
AMERICAN JOURNAL OF CARDIOLOGY, 2009, 103 (03) :338-344