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El costo y las implicaciones para la salud de reducir el colesterol
L Goldman1, D J Gordon, B M Rifkind
1Department of Medicine, Brigham and Women's Hospital, Boston, MA 02115.
Circulation
|May 1, 1992
Resumen
La reducción del colesterol reduce efectivamente el riesgo de enfermedad coronaria (CHD). El análisis de costo-efectividad apoya la educación pública y la terapia agresiva para la prevención secundaria, pero la medicación para la prevención primaria es mejor para las personas de alto riesgo.
Área de la Ciencia:
- Medicina Cardiovascular La medicina cardiovascular es una especialidad de la salud.
- Economía de la salud Economía de la salud
Sus antecedentes:
- El consenso científico confirma el papel del colesterol en la enfermedad coronaria (CHD).
- Se ha demostrado que la reducción de los niveles de colesterol reduce la incidencia de ECC.
- El análisis de costo-efectividad (CEA) es crucial para evaluar los beneficios del gasto en atención médica.
Objetivo del estudio:
- Revisar la eficacia y la rentabilidad de las intervenciones para reducir el colesterol.
- Informar la política de salud con respecto a las estrategias de manejo del colesterol.
Principales métodos:
- Revisión de la literatura sobre la efectividad y la rentabilidad de la reducción del colesterol.
- Aplicación de la metodología CEA a las estrategias de reducción del colesterol.
Principales resultados:
- CEA apoya programas educativos para toda la población para la reducción del colesterol.
- La terapia agresiva para reducir el colesterol es rentable para la prevención secundaria de ECC.
- La medicación para la prevención primaria es rentable solo en individuos identificables de alto riesgo.
- Los costos de los medicamentos tienen un impacto significativo en la rentabilidad de la prevención primaria.
Conclusiones:
- Se necesita más investigación para validar las proyecciones de CEA para las intervenciones de colesterol.
- Se requieren más datos sobre las intervenciones de colesterol en ancianos y mujeres.
- La reducción de los costos de los medicamentos podría mejorar el atractivo de la prevención primaria.
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