Background and Purpose-This work was undertaken to review research addressing the cost-effectiveness of stroke-related diagnostic, preventive, or therapeutic interventions.
Methods-We performed searches of MEDLINE, Excerpta Medica online, HealthSTAR, and Sciences Citation Index Expanded and examined the reference lists of the studies and reviews obtained.
From these, we selected studies that reported an incremental analysis of cost per effect, in which the effect measure was life-years or quality-adjusted life-years.
We abstracted data from each study using a standardized reporting form.
Twenty-six articles met the eligibility criteria and were included in the review.
The methodological quality of the articles reviewed has improved compared with previously reported.
Many stroke evaluation and treatment policies may result in benefits to health that are considered worth their cost.
Some interventions were considered cost-ineffective (anticoagulation in low-risk nonvalvular atrial fibrillation and surveillance with duplex ultrasound after endarterectomy).
Different studies addressing the cost-effectiveness of screening asymptomatic carotid stenosis resulted in strikingly divergent conclusions, from being cost-effective to being detrimental.
Other studies omitted important costs that, if included, would likely have had profound impact on their cost-effectiveness estimates. (...)
Mots-clés Pascal : Accident cérébrovasculaire, Analyse coût efficacité, Revue bibliographique, Traitement, Chimiothérapie, Homme, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Cérébrovasculaire pathologie, Appareil circulatoire pathologie, Vaisseau sanguin pathologie, Economie santé
Mots-clés Pascal anglais : Stroke, Cost efficiency analysis, Bibliographic review, Treatment, Chemotherapy, Human, Nervous system diseases, Central nervous system disease, Cerebral disorder, Cerebrovascular disease, Cardiovascular disease, Vascular disease, Health economy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0361383
Code Inist : 002B17C. Création : 14/12/1999.