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An economic evaluation of intensive hypertension control in CKD patients: a cost-effectiveness study

Ye Seol Lee1,2, Hae-Young Lee3, Tae Hyun Kim4

  • 1Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea.

Clinical Hypertension
|November 1, 2022
PubMed

Insights

Intensive hypertension control for chronic kidney disease (CKD) patients in Korea is economically sound. This approach increases quality-adjusted life years (QALYs) and is cost-effective for managing hypertension in CKD.

Area of Science:

  • Health Economics
  • Nephrology
  • Cardiovascular Disease Management

Background:

  • Intensive hypertension control shows potential effectiveness and economic feasibility in high cardiovascular disease (CVD) risk patients.
  • Chronic kidney disease (CKD) patients with hypertension require specific management strategies.

Purpose of the Study:

  • To conduct an economic evaluation of intensive hypertension control in Korean CKD patients.
  • To compare the cost-effectiveness of intensive versus standard hypertension control in this population.

Main Methods:

  • A Markov decision model was employed to compare costs and effectiveness.
  • Model parameters were derived from Korean National Health Insurance Service (NHIS) data and existing literature.
  • Sensitivity analysis was performed to assess the robustness of the findings.

Main Results:

  • Intensive hypertension control in CKD patients incurs higher costs but yields increased quality-adjusted life years (QALYs).
  • The incremental cost-effectiveness ratio (ICER) was projected at $18,126 per QALY.
  • Sensitivity analysis confirmed the robustness of the economic evaluation.

Conclusions:

  • Intensive hypertension control is an economically sound strategy for CKD patients in Korea.
  • Findings provide valuable insights for clinicians and policymakers in hypertension management for CKD.
  • This approach supports improved health outcomes and resource allocation.
Abstract

Keywords:
Chronic kidney diseaseCost-effectivenessEconomic evaluationIntensive hypertension control

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