کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2956616 1578046 2014 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Cost estimation of hypertension management based on home blood pressure monitoring alone or combined office and ambulatory blood pressure measurements
ترجمه فارسی عنوان
برآورد هزینه مدیریت فشار خون مبتنی بر نظارت بر فشار خون خانگی به تنهایی و یا ترکیب ادغام و اندازه گیری فشار خون آمبولیتیک
کلمات کلیدی
روش اندازه گیری فشار خون، هزینه بهره وری، تحلیل اقتصادی، درمان فشار خون بالا
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی سیستم های درون ریز و اتونومیک
چکیده انگلیسی

This study aims at estimating the resources consumed and subsequent costs for hypertension management, using home blood pressure (BP) monitoring (HBPM) alone versus combined clinic measurements and ambulatory blood pressure monitoring (C/ABPM). One hundred sixteen untreated hypertensive subjects were randomized to use HBPM or C/ABPM for antihypertensive treatment initiation and titration. Health resources utilized within 12-months follow-up, their respective costs, and hypertension control were assessed. The total cost of the first year of hypertension management was lower in HBPM than C/ABPM arm (€1336.0 vs. €1473.5 per subject, respectively; P < .001). Laboratory tests' cost was identical in both arms. There was no difference in achieved BP control and drug expenditure (HBPM: €233.1 per subject; C/ABPM: €247.6 per subject; P = not significant), whereas the cost of BP measurements and/or visits was higher in C/ABPM arm (€393.9 vs. €516.9, per patient, respectively P < .001). The cost for subsequent years (>1) was €348.9 and €440.2 per subject, respectively for HBPM and C/ABPM arm and €2731.4 versus €3234.3 per subject, respectively (P < .001) for a 5-year projection. HBPM used alone for the first year of hypertension management presents lower cost than C/ABPM, and the same trend is observed in 5-year projection. The results on the resources consumption can be used to make cost estimates for other health-care systems.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of the American Society of Hypertension - Volume 8, Issue 10, October 2014, Pages 732–738
نویسندگان
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