[Economic assessment of efficacy of vasaprostan treatment of critical lower limbs ischemia].

Abstract:

AIM:To estimate cost-effect efficacy of vasaprostan treatment of inpatients with arterial chronic obliteration (ACO) with critical ischemia of the lower limbs (Fonten stage III-IV). MATERIAL AND METHODS:Case histories of 105 ACO patients with critical ischemia of the lower limbs (mean age 65 +/- 11.8 years) were analysed to compare efficacy and cost of the "typical practice" of hospital treatment of such patients with prognostic cost of basaprostan treatment using drug-cost modeling. RESULTS:The cost-effect analysis comparing efficacy of "typical practice" and vasaprostan treatment showed that in "typical practice" amputations of the limb are inevitable in 41% while vasaprostan treatment reduces the percentage of the operations to 8.6-12% (according to the literature); overall cost of the "typical" treatment for 105 patients reached 3,909,222 roubles while relevant prognostic cost of vasaprostan treatment made up 4,407,162-4,570,653 roubles. Thus, vasaprostan treatment is characterized by less expense per 1 case of the limb amputation prevention vs "typical practice". CONCLUSION:The models used demonstrated that vasaprostan treatment is more cost-effective than "typical practice".

journal_name

Ter Arkh

journal_title

Terapevticheskii arkhiv

authors

Vorob'ev PA,Dergach EV,Gerasimov VB,Avksent'eva MV

subject

Has Abstract

pub_date

2001-01-01 00:00:00

pages

59-63

issue

8

eissn

0040-3660

issn

2309-5342

journal_volume

73

pub_type

杂志文章
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