| Verfasst von: | Bryant, Kelsey B |
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| | Moran, Andrew E |
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| | Kazi, Dhruv S |
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| | Zhang, Yiyi |
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| | Penko, Joanne |
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| | Ruiz-Negrón, Natalia |
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| | Coxson, Pamela |
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| | Blyler, Ciantel A |
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| | Lynch, Kathleen |
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| | Cohen, Laura P |
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| | Tajeu, Gabriel S |
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| | Fontil, Valy |
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| | Moy, Norma B |
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| | Ebinger, Joseph E |
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| | Rader, Florian |
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| | Bibbins-Domingo, Kirsten |
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| | Bellows, Brandon K |
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| Titel: | Cost-Effectiveness of Hypertension Treatment by Pharmacists in Black Barbershops |
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| Verlagsort: | United States |
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| Jahr: | 2021 |
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| Fussnoten: | ObjectType-Article-1 ; ObjectType-Feature-2 ; SourceType-Scholarly Journals-1 ; content type line 23 |
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| Inhalt: | In LABBPS (Los Angeles Barbershop Blood Pressure Study), pharmacist-led hypertension care in Los Angeles County Black-owned barbershops significantly improved blood pressure control in non-Hispanic Black men with uncontrolled hypertension at baseline. In this analysis, 10-year health outcomes and health care costs of 1 year of the LABBPS intervention versus control are projected.
A discrete event simulation of hypertension care processes projected blood pressure, medication-related adverse events, fatal and nonfatal cardiovascular disease events, and noncardiovascular disease death in LABBPS participants. Program costs, total direct health care costs (2019 US dollars), and quality-adjusted life-years (QALYs) were estimated for the LABBPS intervention and control arms from a health care sector perspective over a 10-year horizon. Future costs and QALYs were discounted 3% annually. High and intermediate cost-effectiveness thresholds were defined as <$50 000 and <$150 000 per QALY gained, respectively.
At 10 years, the intervention was projected to cost an average of $2356 (95% uncertainty interval, -$264 to $4611) more per participant than the control arm and gain 0.06 (95% uncertainty interval, 0.01-0.10) QALYs. The LABBPS intervention was highly cost-effective, with a mean cost of $42 717 per QALY gained (58% probability of being highly and 96% of being at least intermediately cost-effective). Exclusive use of generic drugs improved the cost-effectiveness to $17 162 per QALY gained. The LABBPS intervention would be only intermediately cost-effective if pharmacists were less likely to intensify antihypertensive medications when systolic blood pressure was ≥150 mm Hg or if pharmacist weekly time driving to barbershops increased.
Hypertension care delivered by clinical pharmacists in Black barbershops is a highly cost-effective way to improve blood pressure control in Black men. |
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| ISSN: | 0009-7322 |
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| Titel Quelle: | Circulation (New York, N.Y.) |
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| Jahr Quelle: | 2021 |
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| Band/Heft Quelle: | 143, 24, S. 2384-2394 |
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| DOI: | doi:10.1161/CIRCULATIONAHA.120.051683 |
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| URL: | http://www.ub.uni-heidelberg.de/cgi-bin/edok?dok=https%3A%2F%2Ffanyv88.com%3A443%2Fhttps%2Fwww.ncbi.nlm.nih.gov%2Fpubmed%2F33855861 |
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| | http://www.ub.uni-heidelberg.de/cgi-bin/edok?dok=https%3A%2F%2Ffanyv88.com%3A443%2Fhttps%2Fsearch.proquest.com%2Fdocview%2F2513243352 |
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| | http://www.ub.uni-heidelberg.de/cgi-bin/edok?dok=https%3A%2F%2Ffanyv88.com%3A443%2Fhttps%2Fpubmed.ncbi.nlm.nih.gov%2FPMC8206005 |
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| | DOI: https://doi.org/10.1161/CIRCULATIONAHA.120.051683 |
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| Sprache: | English |
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| Sach-SW: | Adult |
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| | African Americans |
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| | Aged |
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| | Antihypertensive Agents - economics |
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| | Antihypertensive Agents - pharmacology |
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| | Antihypertensive Agents - therapeutic use |
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| | Barbering |
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| | Blood Pressure - drug effects |
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| | Cost-Benefit Analysis |
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| | Drug Administration Schedule |
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| | Drugs, Generic - economics |
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| | Drugs, Generic - therapeutic use |
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| | Humans |
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| | Hypertension - drug therapy |
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| | Male |
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| | Middle Aged |
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| | Pharmacists - psychology |
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| | Quality-Adjusted Life Years |
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| Verknüpfungen: | → Sammelwerk |
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