Statin cost effectiveness in primary prevention a systematic review of the recent cost-effectiveness literature in the United States Public Deposited

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Creator
  • Simpson, Ross, Jr.
    • Affiliation: School of Medicine, Division of Cardiology, Department of Medicine
  • Mitchell, Aaron P
    • Other Affiliation: Duke University Medical Center, Medical Residency Office Rm 8254DN, 2301 Erwin Rd, Durham, NC 27710, USA
Abstract
  • AbstractBackgroundThe literature on the cost-effectiveness of statin drugs in primary prevention of coronary heart disease is complex. The objective of this study is to compare the disparate results of recent cost-effectiveness analyses of statins.FindingsWe conducted a systematic review of the literature on statin cost-effectiveness. The four studies that met inclusion criteria reported varying conclusions about the cost-effectiveness of statin treatment, without a clear consensus as to whether statins are cost-effective for primary prevention. However, after accounting for each study’s assumptions about statin costs, we found substantial agreement among the studies. Studies that assumed statins to be more expensive found them to be less cost-effective, and vice-versa. Furthermore, treatment of low-risk groups became cost-effective as statins became less expensive.ConclusionsDrug price is the primary determinant of statin cost-effectiveness within a given risk group. As more statin drugs become generic, patients at low risk for coronary disease may be treated cost-effectively. Though many factors must be weighed in any medical decision, from a cost-effectiveness perspective, statins may now be considered an appropriate therapy for many patients at low risk for heart disease.
Date of publication
Identifier
  • 22828389
  • doi:10.1186/1756-0500-5-373
Resource type
  • Article
Rights statement
  • In Copyright
Rights holder
  • Aaron P Mitchell et al.; licensee BioMed Central Ltd.
License
Journal title
  • BMC Research Notes
Journal volume
  • 5
Journal issue
  • 1
Page start
  • 373
Language
  • English
Is the article or chapter peer-reviewed?
  • Yes
ISSN
  • 1756-0500
Bibliographic citation
  • BMC Research Notes. 2012 Jul 24;5(1):373
Access
  • Open Access
Publisher
  • BioMed Central Ltd
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