Document Detail

Cost-effectiveness of the North Karelia Hypertension Program. 1972-1977.
MedLine Citation:
PMID:  3090379     Owner:  NLM     Status:  MEDLINE    
The North Karelia Hypertension Program was initiated in 1972 as part of the North Karelia Project. This article examines the costs and effects of the first 5 years of the project. There were 288 fewer than expected fatal strokes and myocardial infarctions during the period; 134 of these are attributable to the hypertension program. The costs of the hypertension program totalled $5.16 million. Drugs consumed 86% of this cost. Using the zero discount rate as an outside boundary, the program is expected to increase old age pension costs by $2.5 million for the 5 years but will decrease earnings losses by $7 million for the same period. With earnings excluded, the cost per quality-adjusted life-year gained is $3,612 at zero discount and $5,830 at 10% discount. Hypertension care is more cost-effective than many of the treatments applied after the appearance of coronary heart disease symptoms but would be much more cost-effective if hypertension could be treated as effectively without medications or if the costs of medications could be reduced.
A Nissinen; J Tuomilehto; T E Kottke; P Puska
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Medical care     Volume:  24     ISSN:  0025-7079     ISO Abbreviation:  Med Care     Publication Date:  1986 Aug 
Date Detail:
Created Date:  1986-09-17     Completed Date:  1986-09-17     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0230027     Medline TA:  Med Care     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  767-80     Citation Subset:  IM    
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MeSH Terms
Cost-Benefit Analysis
Hypertension / economics,  prevention & control*
Life Expectancy
Middle Aged
Models, Theoretical
Regional Medical Programs / economics*
Grant Support
1 K07 HL 00662/HL/NHLBI NIH HHS; 2-S07-RR05448-20/RR/NCRR NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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