Abstract
R outine substitution of alteplase for streptokinase for treating acute myocardial infarction (MI) is cost effective, according to Dr Daniel Mark and fellow investigators involved with the GUSTO trial * . 1 Their analysis suggests that the incremental cost-effectiveness value of alteplase is $US32 678/life-year saved. Putting this into context, using alteplase to treat the approximately 250 000 eligible patients in the US who present with acute MI each year would cost around $US500 million annually, but would yield 3.5 million additional years of life for alteplase recipients.
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* Global Utilization of Streptokinase and Tissue Plasminogen Activator for Occluded coronary arteries
1. Mark DB, Hlatky MA, Califf RM, et al. Cost effectiveness of thrombolytic therapy with tissue plasminogen activator as compared with streptokinase for acute myocardial infarction. New England Journal of Medicine 332: 1418-24, 25 May 1995
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Langsdale, T., Todd, C. Alteplase deemed life saving and cost effective - GUSTO data. Pharmacoecon. Outcomes News 29, 3–4 (1995). https://doi.org/10.1007/BF03309622
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DOI: https://doi.org/10.1007/BF03309622