Economic benefits of amlodipine treatment in patients with coronary artery disease.

Abstract:

OBJECTIVE:To estimate the potential savings in overall cardiovascular disease (CVD) treatment costs for the US population with coronary artery disease (CAD) resulting from the use of amlodipine. STUDY DESIGN AND METHODS:Using patient-level data from a retrospective analysis of the Prospective Evaluation of the Vascular Effects of Norvasc Trial (PREVENT), a randomised, placebo-controlled clinical trial (n = 825), we constructed a Markov cohort simulation model to estimate the health economic outcomes of patients with CAD treated with either amlodipine or placebo. PERSPECTIVE:Healthcare payer perspective. RESULTS:The expected number of CVD events for amlodipine recipients was significantly lower than the number of CVD events in the placebo cohort (p < 0.01). The net present value of the cost per patient for CVD treatment was estimated to be $US14 117 for amlodipine recipients and $US16 683 (1999 values, assuming a 3% discount rate) for placebo recipients over 3 years of follow-up with cost savings realised in the amlodipine cohorts after 6 months. CONCLUSIONS:According to the model, amlodipine results in an expected per patient cost savings of $US2566 over a 3-year period, mainly due to a reduction in hospitalisations for cardiovascular-related events and procedures.

journal_name

Pharmacoeconomics

journal_title

PharmacoEconomics

authors

Casciano R,Doyle JJ,Chen J,Arikian S,Casciano J,Kugel H,Arocho R

doi

10.2165/00019053-200220080-00005

subject

Has Abstract

pub_date

2002-01-01 00:00:00

pages

553-63

issue

8

eissn

1170-7690

issn

1179-2027

pii

200805

journal_volume

20

pub_type

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