| Autor: |
Nadar, Shijin Natarajan, Prabhu, Priya, Aswar, Nandkeshev, Khan, Irfan Hamid |
| Předmět: |
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| Zdroj: |
Indian Journal of Public Health Research & Development; Oct-Dec2023, Vol. 14 Issue 4, p299-304, 6p |
| Abstrakt: |
Introduction: India's National Pharmaceutical and Pricing Authority (NPPA) fixed a ceiling price for coronary stents on 13th February 2017. In this study we compare the coronary stent usage patterns in a hospital in India before and after the coronary stent price regulation was implemented. Methodology: A retrospective cohort study at a private-sector tertiary care hospital among patients that underwent PCI from 13th February 2015 to 12th February 2019, i.e., two years before and after the price regulation of coronary stents. Sampling was done by complete enumeration of the study population & those fulfilling eligibility criteria. Data were collected from the hospital's electronic health records and Cath-lab registry following the inclusion & exclusion criteria. Data on coronary stent utilization patterns were analyzed under different subgroups using descriptive statistics. The Chi-square test was applied to assess statistical significance. The results were considered significant when p value <0.05. Results: 1135 patients were included in the study of which 604 of them underwent PCI before the price regulation of coronary stents, and 531 after. 1154 and 1092 stents at an average of 1.91 and 2.05 stents were used per case before and after the price regulation respectively. Conclusion: The use of DES has increased after the coronary price regulation. Also, more third-generation DES which is the gold standard in coronary revascularization is being used compared to before. The use of superior imported stents also saw an increase after the coronary price regulation. There was only a marginal increase in stents used per case. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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