Download - Antihypertensive therapy adds up
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Antihypertensive therapy adds up ' .•• Tiu plu".,,,,,cological tmltmellt 0/ "y~rtellSioll
ap~n to be re14ti,ely cost-iuffecti,e.' From a total of 2675 prescriptions for antihypertensives written for 1858 patients with mild to moderate hypertension, the average annual cost of treating hypertension was estimated to be NZ$430 (84% of which was drug costs alone). Gain in life expectancy ranged from 2.3 to 11.4 months for men and from 1.4 to 7.6 months in women. Antihypertensive therapy increased 'qualityadjusted life years' by 1.8-11.5 months in men and by 2.5-11.3 months for women. Therapy cost was estimated to be $30 200-188 000 per 'qualityadjusted life year' for men and $62000-547700 per 'quality-adjusted life year' for women.
These values were well in excess of estimated costs for heart transplantation ($20 000 per 'quality-adjusted life year') and coronary artery bypass surgery ($20 000-30 000 per 'qualityadjusted life year'). Kawachi I. Malcolm LA. Treating mild to moderate hypenension: cost-effectiveness and policy implications. Journal of Cardiovascular Pharmacology 16 (Suppl. 7): 5126-SI28. 1990 6027
_ JJ Apr 1991 INPHARMA. ISSN OI56-270J/91/041J-()(J()8/0S01.00/0 cAd" I.tenuuiolllll Ltd