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A Call for Randomized Controlled Cost-Effectiveness Analysis of Percutaneous Transluminal Coronary Angioplasty

Published online by Cambridge University Press:  10 March 2009

Norman Holly
Affiliation:
University of Papua New Guinea

Extract

A rapidly evolving technology, percutaneous transluminal coronary angioplasty, is increasingly favored over bypass surgery for treating some types of coronary stenosis because of its less traumatic invasion, better recovery response, and lower initial cost. However, substantially higher failure rates in initial procedures offset PTCA's savings to an unknown extent and cloud analysis of its overall impact. Lack of randomized clinical data precludes valid cost-effectiveness comparison of the technologies at this time. Criteria for establishing valid data and evaluations of currently available data are described in this paper.

Type
General Essays
Copyright
Copyright © Cambridge University Press 1988

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