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Cost-Effectiveness of Drug-Eluting vs. Bare-Metal Stents in Patients with Coronary Artery Disease from the Korean National Health Insurance Database
Yonsei Medical Journal ; : 1533-1541, 2014.
Artigo em Inglês | WPRIM | ID: wpr-221609
ABSTRACT

PURPOSE:

The aim of this study was to evaluate the cost-effectiveness of the use of drug-eluting stents (DESs), as compared with bare-metal stents (BMSs) in Korea. MATERIALS AND

METHODS:

A retrospective cohort study was conducted between January 2000 and December 2007. Subjects were stent-treated for the first time between 2004 and 2005, with four years of follow-up (2004-2007) (n=43674). The incremental cost-effectiveness ratio (ICER) was used to calculate the costs of DESs compared with BMSs among patients with coronary artery disease (CAD). Cost-effectiveness was assessed with effectiveness defined as a reduction in major adverse cardiac events after six months and after one, two, three, and four years.

RESULTS:

The total costs of a DESs were 674108 Korean won (KRW) higher than that of a BMSs at the end of the follow-up; 13635 thousand KRW per patient treated with DESs and 12960 thousand KRW per patient treated with BMSs. The ICER was 256315 per KRW/death avoided and 293090 per KRW/re-stenting avoided among the CAD patients at the end of the follow-up.

CONCLUSION:

The ICER for the high-risk patients was lower than that for the low-risk patients. The use of DESs is clinically more useful than the use of BMSs for CAD and myocardial infarction patients, especially for those considered to be high-risk patients in Korea.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Doença da Artéria Coronariana / Angioplastia Coronária com Balão / Stents / Risco / Estudos Retrospectivos / Resultado do Tratamento / Análise Custo-Benefício / Paclitaxel / Sirolimo / Povo Asiático Tipo de estudo: Estudo de etiologia / Avaliação Econômica em Saúde / Estudo observacional / Fatores de risco Limite: Idoso / Feminino / Humanos / Masculino País/Região como assunto: Ásia Idioma: Inglês Revista: Yonsei Medical Journal Ano de publicação: 2014 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Doença da Artéria Coronariana / Angioplastia Coronária com Balão / Stents / Risco / Estudos Retrospectivos / Resultado do Tratamento / Análise Custo-Benefício / Paclitaxel / Sirolimo / Povo Asiático Tipo de estudo: Estudo de etiologia / Avaliação Econômica em Saúde / Estudo observacional / Fatores de risco Limite: Idoso / Feminino / Humanos / Masculino País/Região como assunto: Ásia Idioma: Inglês Revista: Yonsei Medical Journal Ano de publicação: 2014 Tipo de documento: Artigo