Prevention of coronary heart disease

BMJ 2004; 328 doi: https://doi.org/10.1136/bmj.328.7436.405-a (Published 12 February 2004) Cite this as: BMJ 2004;328:405

Incremental cost effectiveness raises issues

  1. William C D'Avanzo, retired (davanzo@prodigy.net)
  1. 21B Kenneth Stuart Place, Mohegan Lake, NY 10547

    EDITOR—Marshall seemed not to include the cost to the health system of treatment after a myocardial infarction occurs.1 You could go further and estimate the cost to society of prematurely losing productive members.

    Say, for example, one myocardial infarction was prevented with treatment A and two with treatment B in a group of 100. If A costs $1 a year and …

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