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Table 7 Cost effectiveness analysis of selected interventions

From: Estimation of the burden of cardiovascular disease attributable to modifiable risk factors and cost-effectiveness analysis of preventative interventions to reduce this burden in Argentina

Intervention

Total costs

Net Total costs *

DALY saved †

Percent of DALY saved

ICER per DALY saved‡

 

I$

I$

DALY (95%CI)

% (95%CI)

I$ (95%CI)

Reducing salt in bread

193,576.23

-946,580.87

672.80

0.11%

-1,406.93

 

(-)

(-)

(-)

(-)

(-)

Treatment targeted to persons with an absolute risk above 20% in 10 years (polypill strategy

23,489,613.55

-2,979,727.10

12,108.15

1.98%

-246.45

 

(22,002,839.35 - 24,877,996.13)

(-3,663,248.39- -2,301,924.52)

(11,396.45- 12,752.71)

(1.86% - 2.09%)

(-307.74 - -189.68)

Pharmacological therapy for high blood pressure

62,251,491.82

41,014,269.81

14,100.16

2.31%

2,908.86

 

(61,201,512.65 - 63,303,292.70)

(40,070,763.64 - 42,021,481.43)

(13,919.53 - 14,275.31)

(2.28% - 2.33%)

(2,841.81 - 2,977.48)

Mass Media Campaign to promote tobacco cessation

3,164,785.75

2,053,674.53

644.73

0.11%

3,186.71

 

(-)

(2,012,812.78 - 2,090,361.57)

(624.52 - 666.90)

(0.10% - 0.11%)

(3,024.42 - 3,337.92)

Pharmacological therapy of high cholesterol

92,751,189.47

81,762,199.07

5,666.16

0.93%

14,431.46

 

(90,559,448.95 - 94,981,610.94)

(79,775,242.39 - 83,805,632.99)

(5,507.87 - 5,824.03)

(0.90% - 0.95%)

(14,077.55 - 14,809.92)

Therapy with Bupropion for

51,778,301.95

50,318,932.00

846.80

0.14%

59,433.02

tobacco cessation

(50,792,163.89 - 52,752,733.57)

(49,372,843.67 - 51,286,965.18)

(820.26 - 875.93)

(0.13% - 0.14%)

(57,819.14 - 60,906.25)

  1. 95%CI: 95% confidence interval, I$: international dollars - PPP conversion rate (2007) 1.55 Argentinean peso = 1 I$, DALY: disability adjusted life years, ICER: incremental cost-effectiveness ratio. The ICERs express the results of 1,000 iterations.
  2. * Net Total costs are calculated as Total costs minus the corresponding averted event costs. All costs are measured in 2007 International dollars (I$).
  3. ‡ Derived from bootstrapping techniques.