Prevention & lipids

Cost-Effectiveness of a Polypill for Cardiovascular Disease Prevention in an Underserved Population

JAMA CardiolPublished Cost-effectiveness analysis

Authors' conclusion

Results of this economic evaluation suggest that polypill treatment could be a high value intervention for a low-income, majority Black population with limited access to health care services.

Study context

Population
Southern Community Cohort Study (SCCS) Polypill Trial-representative cohort (majority Black, low-income population) and trial-eligible non-Hispanic Black US adultssimulated trial-representative cohort
Participants
100,000 participants
Comparison
Polypill vs usual care
Outcome
Direct health care costs (US dollar 2023) and QALYs, both discounted 3% annually, and incremental cost per QALY gained
Follow-up
10 years
Methodological detailsdiscrete-event simulation model, health care sector perspective, 10-year time horizon, 1-way and probabilistic sensitivity analysis
  • Discrete-event simulation model
  • Health care sector perspective
  • 10-year time horizon
  • 1-way and probabilistic sensitivity analysis

Main finding

As reported in the abstract

Additional quality-adjusted life-years (QALYs) (mean)

1190 QALYs

95% UI 287–2159

at a cost of approximately $10 152 000

Incremental cost per QALY gained

$8560 per QALY gained

Polypill

High value (<$50 000 per QALY gained) in proportion of simulations
99%
High value when priced at or below, per year
$559
Cost saving when priced at or below, per year
$443

Further findings

OutcomeIncremental cost per QALY gained (per QALY gained)
Cost per QALY gained, trial-eligible non-Hispanic Black US adults (secondary analysis)n = 3 602 427; high value$13 400

Original publication

Cost-Effectiveness of a Polypill for Cardiovascular Disease Prevention in an Underserved Population. JAMA Cardiol. Published 1 March 2025. doi:10.1001/jamacardio.2024.4812

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