IDEAS home Printed from https://ideas.repec.org/a/sae/medema/v31y2011i2p315-324.html
   My bibliography  Save this article

An Economic Evaluation of a Laboratory Monitoring Program for Renin-Angiotensin System Agents

Author

Listed:
  • David H. Smith
  • Marsha A. Raebel
  • K. Arnold Chan
  • Eric S. Johnson
  • Amanda F. Petrik
  • Jessica R. Weiss
  • Xiuhai Yang
  • Adrianne Feldstein

Abstract

Background . The efficiency of patient safety interventions is not well studied, especially laboratory monitoring for drug therapy. More than one-third of preventable adverse drug events are associated with inadequate monitoring. Current knowledge of decreasing adverse drug events through expanded monitoring programs is lacking. Design . The authors focused on a laboratory monitoring program (above usual practice) of renin-angiotensin system (RAS) agents to prevent adverse events of hyperkalemia and acute renal failure. They used a probabilistic decision model to estimate cost savings and cost effectiveness (at $30,000 and $10,000 per quality-adjusted life-year (QALY)). Costs included the monitoring program, and offsets from reduced care in 3 populations (overall, chronic kidney disease [CKD], and diabetes). Main results . Adverse events were most common in those with CKD. Intervening on all new users or the subset with diabetes was almost never expected to be cost saving (probability

Suggested Citation

  • David H. Smith & Marsha A. Raebel & K. Arnold Chan & Eric S. Johnson & Amanda F. Petrik & Jessica R. Weiss & Xiuhai Yang & Adrianne Feldstein, 2011. "An Economic Evaluation of a Laboratory Monitoring Program for Renin-Angiotensin System Agents," Medical Decision Making, , vol. 31(2), pages 315-324, March.
  • Handle: RePEc:sae:medema:v:31:y:2011:i:2:p:315-324
    DOI: 10.1177/0272989X10379918
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/0272989X10379918
    Download Restriction: no

    File URL: https://libkey.io/10.1177/0272989X10379918?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:medema:v:31:y:2011:i:2:p:315-324. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.