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Title: | Economic evaluation of ASCOT-BPLA: Antihypertensive treatment with an amlodipine-based regimen is cost-effective compared to an atenolol-based regimen |
Authors: | Lindgren, P Buxton, MJ Kahan, T Poulter, NR Dahlof, B Sever, PS Wedel, H Jönsson, B |
Keywords: | Hypertension;Primary prevention;Amlodipine;Atenolol;Cost-effectiveness |
Issue Date: | 2007 |
Publisher: | British Medical Journals Publishing Group Ltd & British Cardiovascular Society |
Citation: | Heart, 94(2): e4, 4th October 2007 |
Abstract: | Objective: To compare the cost effectiveness of an amlodipine-based strategy and an atenolol-based strategy in the treatment of hypertension in the UK and Sweden. Design: A prospective, randomised trial complemented with a Markov model to assess long-term costs and health effects. Setting: Primary care. Patients: Patients with moderate hypertension and three or more additional risk factors. Interventions: Amlodipine 5–10 mg with perindopril 4–8 mg added as needed or atenolol 50–100 mg with bendroflumethiazide 1.25–2.5 mg and potassium added as needed Main outcome measures: Cost per cardiovascular event and procedure avoided, and cost per quality-adjusted life-year gained. Results: In the UK, the cost to avoid one cardiovascular event or procedure would be €18 965, and the cost to gain one quality-adjusted life-year would be €21 875. The corresponding figures for Sweden were €13 210 and €16 856. Conclusions: Compared with the thresholds applied by NICE and in the Swedish National Board of Health and Welfare’s Guidelines for Cardiac Care, an amlodipine-based regimen is cost effective for the treatment of hypertension compared with an atenolol-based regimen in the population studied. |
Description: | Copyright © 2010 BMJ Publishing Group Ltd & British Cardiovascular Society. Internal or personal use of this material is permitted. However, permission to reprint/republish this material must be obtained from the Publisher. |
URI: | http://bura.brunel.ac.uk/handle/2438/4572 |
DOI: | http://dx.doi.org/10.1136/hrt.2007.127217 |
ISSN: | 1355-6037 |
Appears in Collections: | Community Health and Public Health Health Economics Research Group (HERG) Dept of Health Sciences Research Papers |
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