[Comparision of costs of secondary prevention and treatment of stroke--cost-effectiveness analysis]

Ivana Ceronja1, Zvonko Sosić

  • 1Zavod za javno zdravstvo Bjelovarsko-bilogorske zupanije, Bjelovar. iceronja@gmail.com

Lijecnicki Vjesnik
|December 15, 2011
PubMed

Insights

Secondary prevention of cerebrovascular accident (CVA) is cost-effective. Treating hypertension prevents costly CVAs, improving patient quality of life and long-term outcomes.

Area of Science:

  • Cardiovascular Medicine
  • Public Health
  • Health Economics

Background:

  • Untreated arterial hypertension is a significant risk factor for cerebrovascular accident (CVA).
  • Economic evaluation of healthcare interventions is crucial for resource allocation.

Purpose of the Study:

  • To compare the cost-effectiveness of secondary prevention strategies for CVA in patients with untreated arterial hypertension versus direct CVA treatment.
  • To analyze the long-term economic impact of hypertension management on CVA incidence.

Main Methods:

  • Cost-effectiveness analysis was employed.
  • Diagnosis and therapy costs for arterial hypertension were compared against CVA treatment costs.

Main Results:

  • The 30-year cost of secondary CVA prevention per patient was 15,107.75 kunas, factoring in a discount.
  • A single CVA treatment averaged 17,207.54 kunas.
  • Preventing one CVA through hypertension treatment (NNT=850) incurred a cost of 1,350,811.5 kunas, exceeding the cost of a single CVA treatment.

Conclusions:

  • Secondary prevention of CVA offers long-term patient benefits, including improved quality of life and reduced disability.
  • Primary and secondary prevention of hypertension provide greater overall advantages for patient well-being compared to treating established CVA.
Abstract

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