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Cost Effectiveness of Targeted High-dose Atorvastatin Therapy Following Genotype Testing in Patients with Acute Coronary Syndrome

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  • Anju Parthan
  • Kevin Leahy
  • Amy O’Sullivan
  • Olga Iakoubova
  • Lance Bare
  • James Devlin
  • Milton Weinstein

Abstract

Testing ACS patients for KIF6 carrier status may be a cost-effective strategy at commonly accepted thresholds. Treating all patients with A80 is more expensive than treating patients on the basis of KIF6 results, but the modest gain in QALYs is achieved at a cost/QALY that is generally considered unacceptable compared with the KIF6 Testing strategy. Compared with treating all patients with P40, the KIF6 Testing strategy had an ICER below US$50,000 per QALY. The conclusions from this study are sensitive to the price of generic A80 and the effect on adherence of knowing KIF6 carrier status. The results were based on a post hoc substudy of the PROVE IT trial, which was not designed to test the effectiveness of KIF6 testing. Copyright Springer International Publishing Switzerland 2013

Suggested Citation

  • Anju Parthan & Kevin Leahy & Amy O’Sullivan & Olga Iakoubova & Lance Bare & James Devlin & Milton Weinstein, 2013. "Cost Effectiveness of Targeted High-dose Atorvastatin Therapy Following Genotype Testing in Patients with Acute Coronary Syndrome," PharmacoEconomics, Springer, vol. 31(6), pages 519-531, June.
  • Handle: RePEc:spr:pharme:v:31:y:2013:i:6:p:519-531
    DOI: 10.1007/s40273-013-0054-5
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    Cited by:

    1. Elizabeth J J Berm & Margot de Looff & Bob Wilffert & Cornelis Boersma & Lieven Annemans & Stefan Vegter & Job F M van Boven & Maarten J Postma, 2016. "Economic Evaluations of Pharmacogenetic and Pharmacogenomic Screening Tests: A Systematic Review. Second Update of the Literature," PLOS ONE, Public Library of Science, vol. 11(1), pages 1-22, January.

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