Hypertension

Cost-effectiveness of catheter-based radiofrequency renal denervation for the treatment of uncontrolled hypertension: an analysis for the UK based on recent clinical evidence

Eur Heart J Qual Care Clin OutcomesPublished Cost-effectiveness analysis

Authors' conclusion

Catheter-based radiofrequency RDN can be a cost-effective strategy for uncontrolled hypertension in the UK, with an ICER substantially below the NICE cost-effectiveness threshold.

Study context

Population
Patients with uncontrolled hypertension, UKmodel
Comparison
RF RDN vs sham control
Outcome
ICER (cost per QALY gained) vs NICE threshold of £20 000-30 000 per QALY gained
Follow-up
Lifetime
Methodological detailsdecision-analytic model, lifetime horizon, UK NHS perspective, scenario and sensitivity analyses, Base case effect size from SPYRAL HTN-ON MED trial; costs from NHS England data
  • Decision-analytic model
  • Lifetime horizon
  • UK NHS perspective
  • Scenario and sensitivity analyses
  • Base case effect size from SPYRAL HTN-ON MED trial; costs from NHS England data

Main finding

As reported in the abstract

Lifetime cost-effectiveness

Quality-adjusted life years (QALYs) added

0.35

Incremental cost

£4763

Incremental cost-effectiveness ratio (ICER) per QALY gained

£13 482

Further findings

Relative risk of clinical events · 10 years

Stroke
0.80
Myocardial infarction (MI)
0.88
Heart failure (HF)
0.72

Original publication

Cost-effectiveness of catheter-based radiofrequency renal denervation for the treatment of uncontrolled hypertension: an analysis for the UK based on recent clinical evidence. Eur Heart J Qual Care Clin Outcomes. Published 9 January 2024. doi:10.1093/ehjqcco/qcae001

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.