Procedure costs and outcomes associated with pharmacologic management of peripheral arterial disease in the Department of Defense

Woodie M. Zachry, James P. Wilson, Kenneth A. Lawson, Jim M. Koeller

    Research output: Contribution to journalArticlepeer-review

    5 Scopus citations

    Abstract

    This study was undertaken to determine if differences existed between pharmacologic treatments of peripheral arterial disease (PAD) with respect to PAD-related costs and health care outcomes in the United States Department of Defense health care system. We performed a retrospective review of hospital and prescription data to explore the effects of at least 90 days of aspirin, pentoxifylline, papaverine, or dipyridamole on 4 PAD-related outcomes: number of PAD-related invasive procedures (INV), number of PAD-related examination procedures (EXM), number of PAD-related hospitalization days (HDAYS), and cost of PAD-related procedures (COST) during 5 years. A covariate representing the number of PAD-related hospitalizations before the study period was used to attempt to control for severity of disease state. General linear models were used in the analyses. A statistically significant difference was seen between treatment groups for a linear combination of INV, EXM, HDAYS, and COST when controlling for past PAD-related hospitalizations (P < 0.014). A statistically significant relationship existed between treatment groups and INV (P < 0.041). The pentoxifylline treatment group had a statistically significant higher covariate-adjusted mean INV compared with the aspirin treatment group (P < 0.043). Also, PAD-related past hospitalizations were significantly related to EXM (P < 0.006). Our results appear to support the use of aspirin as a preventive treatment in PAD compared with pentoxifylline or dipyridamole.

    Original languageEnglish (US)
    Pages (from-to)1358-1369
    Number of pages12
    JournalClinical Therapeutics
    Volume21
    Issue number8
    DOIs
    StatePublished - Jan 1 1999

    Keywords

    • Aspirin
    • Cost of procedures
    • Dipyridamole
    • Pentoxifylline
    • Peripheral arterial disease
    • Peripheral vascular disease

    ASJC Scopus subject areas

    • Pharmacology
    • Pharmacology (medical)

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