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Cholesterol Efflux Assay
Published on: March 6, 2012
Costo-efectividad de los enfoques educativos en toda la población para reducir los niveles de colesterol sérico
A N Tosteson1, M C Weinstein, M G Hunink
1Department of Medicine, Dartmouth Medical School, Hanover, NH, USA.
Circulation
|January 7, 1997
Resumen
Los programas en toda la población reducen efectivamente los niveles de colesterol sérico, salvando vidas y recursos. Estas estrategias de salud pública rentables son vitales para reducir la enfermedad coronaria.
Área de la Ciencia:
- Salud Pública La salud pública.
- Economía de la salud Economía de la salud
- Prevención de las enfermedades cardiovasculares Prevención de las enfermedades cardiovasculares
Sus antecedentes:
- El colesterol sérico es un factor de riesgo significativo para la enfermedad coronaria (CHD).
- Las intervenciones en toda la población ofrecen un enfoque escalable para la modificación de los factores de riesgo.
Objetivo del estudio:
- Para estimar la relación costo-efectividad de las estrategias de la población para reducir el colesterol sérico en adultos estadounidenses.
- Evaluar el impacto económico de las iniciativas de salud pública dirigidas a la reducción del colesterol.
Principales métodos:
- Análisis de costo-efectividad utilizando el modelo de política de enfermedades coronarias.
- Datos sintetizados de la literatura, incluido el Estudio de tres comunidades de Stanford y el Proyecto Karelia del Norte.
- Intervenciones modeladas en programas de toda la población con una reducción promedio del 2% del colesterol sérico.
Principales resultados:
- Un programa para toda la población que refleja el Proyecto de las Cinco Ciudades de Stanford cuesta $4.95 por persona al año.
- Se proyecta que esta intervención ahorrará un año de vida a un costo estimado de $3200.
- Los beneficios aumentan cuando los programas se dirigen a personas con enfermedades cardíacas existentes u otros factores de riesgo.
Conclusiones:
- Los programas de reducción del colesterol en toda la población son una intervención de salud pública rentable.
- Estas estrategias deben integrarse en los planes nacionales de salud para combatir la enfermedad coronaria.
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