Long-term cost-effectiveness of percutaneous coronary intervention (PCI)
The Norwegian Knowledge Centre for the Health Services
Record ID 32005000207
Norwegian
Authors' objectives:
Previous studies have shown that percutaneous coronary intervention (PCI) is a better treatment than thrombolysis for patients with acute myocardial infarction admitted to an invasive centre. However, the economic consequences of PCI as the primary strategy have not yet been assessed. One should also consider different strategies when there is a long distance between the local hospital and the centre offering PCI. The aim of the study was to explore the long-term cost-effectiveness of PCI.
Authors' recommendations:
PCI seems to entail greater health benefits at lower costs than thrombolysis whether the patients live close to PCI hospital or not. The conclusion is unchanged after sensitivity analysis. However, a change to primary PCI as a strategy will have consequences for personnel and organisation of the health care system. These secondary consequences have not been considered in these analyses.
In clinical practice combined strategies are actual, that is thrombolysis in ambulance or in local hospital before sending the patient to an invasive centre for PCI. For the present, the clinical data supporting an analysis of combined strategies are still too weak to be analysed by our model. When more robust data are available, it will be possible to modify the model to include combinations.
Authors' methods:
Systematic review
Details
Project Status:
Completed
URL for project:
http://www.nokc.no/filer/rapport3.04.pdf
Year Published:
2004
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Norway
MeSH Terms
- Coronary Disease
- Costs and Cost Analysis
Contact
Organisation Name:
Norwegian Institute of Public Health
Contact Address:
Universitetsgata 2, Postbox 7004 St. Olavs plass, NO-0310 Oslo NORWAY. Tel: +47 23 25 50 00; Fax: +47 23 25 50 10;
Contact Name:
Berit.Morland@nokc.no, dagny.fredheim@nokc.no
Contact Email:
Berit.Morland@nokc.no, dagny.fredheim@nokc.no
Copyright:
The Norwegian Knowledge Centre for the Health Services
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