Abstract | BACKGROUND: METHODS: In total, 771 patients with left ventricular dysfunction and acute myocardial infarction were randomized in a double-blind manner to receive zofenopril 60 mg/day (n = 389) or ramipril 10 mg/day (n = 382) + ASA 100 mg/day and were followed up for one year. The primary study endpoint was the one-year combined occurrence of death or hospitalization for cardiovascular causes. The economic analysis was based on evaluation of cost of medications and hospitalizations and was applied to the intention-to-treat population (n = 716). Cost data were drawn from the National Health Service databases of the European countries participating in the study. The incremental cost-effectiveness ratio was used to quantify the cost per event prevented with zofenopril versus ramipril. RESULTS:
Zofenopril significantly (P = 0.028) reduced the risk of the primary study endpoint by 30% as compared with ramipril (95% confidence interval, 4%-49%). The number needed to treat to prevent a major cardiovascular event with zofenopril was 13 less than with ramipril. The cost of drug therapies was higher with zofenopril (328.78 Euros per patient per year, n = 365) than with ramipril (165.12 Euros per patient per year, n = 351). The cost related to the occurrence of major cardiovascular events requiring hospitalization averaged 4983.64 Euros for zofenopril and 4850.01 Euros for ramipril. The incremental cost-effectiveness ratio for zofenopril versus ramipril was 2125.45 Euros per event prevented (worst and best case scenario in the sensitivity analysis was 3590.09 and 3243.96 Euros, respectively). CONCLUSION:
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Authors | Claudio Borghi, Ettore Ambrosioni, Stefano Omboni, Arrigo Fg Cicero, Stefano Bacchelli, Daniela Degli Esposti, Salvatore Novo, Dragos Vinereanu, Giuseppe Ambrosio, Giorgio Reggiardo, Dario Zava |
Journal | ClinicoEconomics and outcomes research : CEOR
(Clinicoecon Outcomes Res)
Vol. 5
Pg. 317-25
( 2013)
ISSN: 1178-6981 [Print] New Zealand |
PMID | 23882152
(Publication Type: Journal Article)
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