Details:

Alternative Title:
Am J Prev Med
Personal Author:
Zhang, Donglan ; Wang, Guijing ; Joo, Heesoo
Zhang, Donglan ; Wang, Guijing ; Joo, Heesoo Less -
Description:
Context

Effective community-based interventions are available to control hypertension. It is important to determine the economics of these interventions.

Evidence acquisition

Peer-reviewed studies from January 1995 through December 2015 were screened. Interventions were categorized into educational interventions, self-monitoring interventions, and screening interventions. Incremental cost-effectiveness ratios were summarized by types of interventions. The review was conducted in 2016.

Evidence synthesis

Thirty-four articles were included in the review (16 from the U.S., 18 from other countries), including 25 on educational interventions, three on self-monitoring interventions, and six on screening interventions. In the U.S., five (31.3%) studies on educational interventions were cost saving. Among the studies that found the interventions cost effective, the median incremental costs were $62 (range, $40–$114) for 1-mmHg reduction in systolic blood pressure (SBP) and $13,986 (range, $6,683–$58,610) for 1 life-year gained. Outside the U.S., educational interventions cost from $0.62 (China) to $29 (Pakistan) for 1-mmHg reduction in SBP. Self-monitoring interventions, evaluated in the U.S. only, cost $727 for 1-mmHg reduction in SBP and $41,927 for 1 life-year gained. For 1 quality-adjusted life-year, screening interventions cost from $21,734 to $56,750 in the U.S., $613 to $5,637 in Australia, and $7,000 to $18,000 in China. Intervention costs to reduce 1 mmHg blood pressure or 1 quality-adjusted life-year were higher in the U.S. than in other countries.

Conclusions

Most studies found that the three types of interventions were either cost effective or cost saving. Quality of economic studies should be improved to confirm the findings.


Subjects:
[+]
Article Blood Pressure Monitoring, Ambulatory Cost-Benefit Analysis Humans Hypertension Patient Education As Topic Program Evaluation Quality-Adjusted Life Years Treatment Outcome
Source:
Am J Prev Med. 53(6 Suppl 2):S121-S130
Pubmed ID:
29153113
Pubmed Central ID:
PMC5819001
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHSUnited States/
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:9faafcfdb7529954f6c6248bed5ebe84b6a76605ff5df1af4fad71793128420d
Download URL:
https://stacks.cdc.gov/view/cdc/52026/cdc_52026_DS1.pdf
File Type:

Supporting Files

• 	NIHMS939662-supplement-1.pdf	pdf
  	nihms939662.nxml	xml
  	nihms939662f1.gif	gif
  	nihms939662f1.jpg	jpeg

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