Hypertension

Cost-effectiveness of ultra-low-dose quadruple combination therapy for high blood pressure

HeartPublished Economic evaluation (within-trial and modelled) of the QUARTET randomised trial

Authors' conclusion

Quadpill in comparison with monotherapy is comparably cost-effective for short-term BP lowering. In the long-term, quadpill therapy is likely to be cost-effective.

Study context

Population
People with hypertension, untreated or receiving monotherapy
Comparison
Quadpill vs irbesartan 150 mg monotherapy
Primary endpoint
Incremental cost-effectiveness ratios (ICERs): cost per mm Hg SBP reduction (within-trial) and modelled cost per QALY
Follow-up
3 months (BP); lifetime (QALY)
Methodological detailspreplanned, cost-effectiveness and cost-utility analysis, lifetime model
  • Preplanned
  • Cost-effectiveness and cost-utility analysis
  • Lifetime model

Primary result

As reported in the abstract

3 months; no clear difference
cost per mm Hg blood pressure (BP) lowering $A10 per mm Hg per person (95% UI $A −18 to $A37)
Lifetime model
mean incremental cost $A265 per person (95% UI $A166 to $A357)
Lifetime model
mean quality-adjusted life year (QALYs) gained 0.02 QALYs per person (95% UI 0.01–0.03)
Base case; cost-effective
ICER $A14 006 per QALY

Original publication

Cost-effectiveness of ultra-low-dose quadruple combination therapy for high blood pressure. Heart. Published 26 July 2023. doi:10.1136/heartjnl-2022-322300

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