THE COMPARATIVE COST-EFFICACY ANALYSIS OF VARIOUS ANTIHYPERTENSIVE THERAPIES

<p><strong>Aim.</strong> To perform the comparative cost-efficacy analysis of various antihypertensive therapies in hypertensives patients.</p><p><strong>Material and methods.</strong> 140 hypertensive patients with history of ineffective antihypertensive th...

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Main Authors: S. V. Malchikova, E. I. Tarlovskaya
Format: Article
Language:English
Published: Столичная издательская компания 2016-01-01
Series:Рациональная фармакотерапия в кардиологии
Subjects:
Online Access:http://www.rpcardio.ru/jour/article/view/714
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author S. V. Malchikova
E. I. Tarlovskaya
author_facet S. V. Malchikova
E. I. Tarlovskaya
author_sort S. V. Malchikova
collection DOAJ
description <p><strong>Aim.</strong> To perform the comparative cost-efficacy analysis of various antihypertensive therapies in hypertensives patients.</p><p><strong>Material and methods.</strong> 140 hypertensive patients with history of ineffective antihypertensive therapy were randomized in to 4 groups, 35 patients in each one. Patients of Group A received indapamide retard plus perindopril; group B - indapamide retard plus amlodipine; group C - amlodipine plus lisinopril; group D - amlodipine plus bisoprolol. The Russian version of general questionnaire MOS-SF-36 was applied for quality of a life estimated. Endothelium function was evaluated with B-mode ultrasonography (Acuson 128 ХР/10). Albuminuria level was detected by immunoturbometric method (Integra-700, Roche).</p><p><strong>Results.</strong> The drug combination B had the least cost. The drug combination C was the most effective. The drug combination C was the most economically rational. The drug combination A was the least economically rational for BP reduction. However the drug combination A was comparable with drug combination C in effects on quality of life and on endothelium function, and it was the most economically rational for albuminuria reduction.</p><p><strong>Conclusion.</strong> Indapamide retard plus perindopril combination is the most economically rational in patients with target-organ lesions (nephropathy). Lisinopril plus amlodipine combination is economically rational in patients without target-organ lesions. </p>
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spelling doaj.art-1b2cdb284bcd40dcb430a4c4ad72d9ce2023-08-02T04:01:41ZengСтоличная издательская компанияРациональная фармакотерапия в кардиологии1819-64462225-36532016-01-0155354010.1234/1819-6446-2009-5-35-40713THE COMPARATIVE COST-EFFICACY ANALYSIS OF VARIOUS ANTIHYPERTENSIVE THERAPIESS. V. Malchikova0E. I. Tarlovskaya1Кировская государственная медицинская академияКировская государственная медицинская академия<p><strong>Aim.</strong> To perform the comparative cost-efficacy analysis of various antihypertensive therapies in hypertensives patients.</p><p><strong>Material and methods.</strong> 140 hypertensive patients with history of ineffective antihypertensive therapy were randomized in to 4 groups, 35 patients in each one. Patients of Group A received indapamide retard plus perindopril; group B - indapamide retard plus amlodipine; group C - amlodipine plus lisinopril; group D - amlodipine plus bisoprolol. The Russian version of general questionnaire MOS-SF-36 was applied for quality of a life estimated. Endothelium function was evaluated with B-mode ultrasonography (Acuson 128 ХР/10). Albuminuria level was detected by immunoturbometric method (Integra-700, Roche).</p><p><strong>Results.</strong> The drug combination B had the least cost. The drug combination C was the most effective. The drug combination C was the most economically rational. The drug combination A was the least economically rational for BP reduction. However the drug combination A was comparable with drug combination C in effects on quality of life and on endothelium function, and it was the most economically rational for albuminuria reduction.</p><p><strong>Conclusion.</strong> Indapamide retard plus perindopril combination is the most economically rational in patients with target-organ lesions (nephropathy). Lisinopril plus amlodipine combination is economically rational in patients without target-organ lesions. </p>http://www.rpcardio.ru/jour/article/view/714комбинированная терапияартериальная гипертензияанализ «затраты-эффективность»
spellingShingle S. V. Malchikova
E. I. Tarlovskaya
THE COMPARATIVE COST-EFFICACY ANALYSIS OF VARIOUS ANTIHYPERTENSIVE THERAPIES
Рациональная фармакотерапия в кардиологии
комбинированная терапия
артериальная гипертензия
анализ «затраты-эффективность»
title THE COMPARATIVE COST-EFFICACY ANALYSIS OF VARIOUS ANTIHYPERTENSIVE THERAPIES
title_full THE COMPARATIVE COST-EFFICACY ANALYSIS OF VARIOUS ANTIHYPERTENSIVE THERAPIES
title_fullStr THE COMPARATIVE COST-EFFICACY ANALYSIS OF VARIOUS ANTIHYPERTENSIVE THERAPIES
title_full_unstemmed THE COMPARATIVE COST-EFFICACY ANALYSIS OF VARIOUS ANTIHYPERTENSIVE THERAPIES
title_short THE COMPARATIVE COST-EFFICACY ANALYSIS OF VARIOUS ANTIHYPERTENSIVE THERAPIES
title_sort comparative cost efficacy analysis of various antihypertensive therapies
topic комбинированная терапия
артериальная гипертензия
анализ «затраты-эффективность»
url http://www.rpcardio.ru/jour/article/view/714
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