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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1988-8-3
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pubmed:abstractText |
We analyzed the costs and effectiveness of routine therapy with beta-adrenergic antagonists in patients who survived an acute myocardial infarction. On the basis of data pooled from the literature, this form of therapy resulted in a 25 percent relative reduction annually in the mortality rate for years 1 to 3 and a 7 percent relative reduction for years 4 to 6 after a myocardial infarction. The estimated cost of six years of routine beta-adrenergic-antagonist therapy to save an additional year of life was $23,400 in low-risk patients, $5,900 in medium-risk patients, and $3,600 in high-risk patients, assuming that the entire benefit of earlier treatment is lost immediately after six years. Under a more likely assumption--that the benefit of six years of treatment wears off gradually over the subsequent nine years--the estimated cost of therapy per year of life saved would be $13,000 in low-risk patients, $3,600 in medium-risk patients, and $2,400 in high-risk patients. As compared with coronary-artery bypass grafting and the medical treatment of hypertension, routine beta-adrenergic-antagonist therapy has a relatively favorable cost-effectiveness ratio.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
0028-4793
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
21
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pubmed:volume |
319
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
152-7
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:2898733-Adrenergic beta-Agonists,
pubmed-meshheading:2898733-Age Factors,
pubmed-meshheading:2898733-Aged,
pubmed-meshheading:2898733-Cost-Benefit Analysis,
pubmed-meshheading:2898733-Costs and Cost Analysis,
pubmed-meshheading:2898733-Humans,
pubmed-meshheading:2898733-Life Expectancy,
pubmed-meshheading:2898733-Male,
pubmed-meshheading:2898733-Middle Aged,
pubmed-meshheading:2898733-Myocardial Infarction,
pubmed-meshheading:2898733-Prognosis,
pubmed-meshheading:2898733-Propranolol,
pubmed-meshheading:2898733-Risk Factors
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pubmed:year |
1988
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pubmed:articleTitle |
Costs and effectiveness of routine therapy with long-term beta-adrenergic antagonists after acute myocardial infarction.
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pubmed:affiliation |
Division of Clinical Epidemiology, Brigham and Women's Hospital, Boston, MA 02115.
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pubmed:publicationType |
Journal Article
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