2.7 A HEALTH ECONOMIC EVALUATION ON THE COST EFFECTIVENESS OF HYPERTENSION MANAGEMENT GUIDED BY CENTRAL BLOOD PRESSURE MEASUREMENT: ANALYSIS OF THE BPGUIDE STUDY

DOI

10.1016/j.artres.2013.10.013How to use a DOI?

Abstract

Objectives. The BPGUIDE study was a prospective, blinded-endpoint study in 286 hypertensive patients randomised to treatment decisions guided by best-practice usual care (n = 142) or in addition by central BP measurement (n = 144; using SphygmoCor) over twelve months. This study aimed to undertake a health economic assessment to determine cost-effectiveness of hypertension management guided by central BP.

Methods. The primary finding of BPGUIDE was that significantly (p < 0.001) less antihypertensive medication was used to achieve BP control in patients randomised to central BP guided care.The savings from these reductions in medications were used to determine the cost-effective fee for service and this amount was then compared to the actual financial cost of central BP measurement in order to gauge financial viability.

Results. Decreases in 5 antihypertensive medication classes over time were used to calculate financial savings using the Australian Government’s Pharmaceutical Benefits Scheme dollar costs. Savings from less use of medications was calculated at $28 to $32/person (each 3 months) using a capital base cost of $10,000 (for the SphygmoCor device), 5 years capital life, 5% discount rate, patient throughput of 50/year and, labour costs up to $250/hour. Therefore, a fee for service to measure central BP of approximately $30 could be both economically and financially justifiable.

Conclusions. Management of hypertension using central BP has cost-savings relating to decreased medication and may be regarded as cost-neutral when factoring in a fee for central BP measurement.

Open Access

This is an open access article distributed under the CC BY-NC license.

TY  - JOUR
AU  - S.P. O’Malley
AU  - J.E. Sharman
PY  - 2013
DA  - 2013/11/11
TI  - 2.7 A HEALTH ECONOMIC EVALUATION ON THE COST EFFECTIVENESS OF HYPERTENSION MANAGEMENT GUIDED BY CENTRAL BLOOD PRESSURE MEASUREMENT: ANALYSIS OF THE BPGUIDE STUDY
JO  - Artery Research
SP  - 164
EP  - 165
VL  - 7
IS  - 3-4
SN  - 1876-4401
UR  - https://doi.org/10.1016/j.artres.2013.10.013
DO  - 10.1016/j.artres.2013.10.013
ID  - O’Malley2013
ER  -