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阿根廷心血管预防干预措施的经济评价。

Economic evaluations on cardiovascular preventive interventions in Argentina.

机构信息

Institute for Clinical Effectiveness and Health Policy, Viamonte 2146, 3rd Floor, C1056ABH, Buenos Aires, Argentina.

出版信息

Expert Rev Pharmacoecon Outcomes Res. 2010 Aug;10(4):465-73. doi: 10.1586/erp.10.50.

Abstract

Cardiovascular diseases are the main cause of death in Argentina. This article analyzes economic evaluations on cardiovascular prevention for this country. A literature search was conducted in five electronic databases during December 2009. Inclusion criteria were complete economic evaluations addressing at least one cardiovascular health outcome for the Argentinean population. Finally, nine studies were included evaluating 14 comparisons. Interventions oriented to primary or secondary prevention in patients that had undergone coronary angioplasty, with a previous cardiovascular event or equivalents, with a hospitalization for heart failure or general population were evaluated. Bread salt reduction, antihypertensive treatment, mass educational campaigns and polypill strategies could be considered cost effective. The available economic evidence to guide resource allocation in cardiovascular disease in Argentina seems to be scarce and limited.

摘要

心血管疾病是阿根廷的主要死亡原因。本文分析了针对该国心血管疾病预防的经济评估。在 2009 年 12 月,在五个电子数据库中进行了文献检索。纳入标准为针对阿根廷人群的至少一个心血管健康结果的完整经济评估。最终,纳入了 9 项研究,共评价了 14 项比较。评估了针对经皮冠状动脉介入治疗、既往心血管事件或等同疾病、心力衰竭住院或普通人群的患者的一级或二级预防的干预措施。减少盐的摄入、降压治疗、大众教育运动和多效药丸策略可能具有成本效益。在阿根廷,指导心血管疾病资源配置的经济证据似乎很少且有限。

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