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Clinical and Economic Implications of the Multicenter Automatic Defibrillator Implantation Trial-II


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Table 1. Comparison of Baseline Clinical Characteristics of the Duke Medical Therapy Group and Patients in the Multicenter Automatic Defibrillator Implantation Trial-II

 


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Figure 1. Survival comparison of patients in the Multicenter Automatic Defibrillator Implantation Trial (MADIT)-II with patients in the Duke medical therapy and implantable cardioverter defibrillator (ICD) groups. The estimated survival curves for the Duke medical therapy and ICD groups were adjusted to reflect a more recent era of ischemic heart disease and heart failure management (1998–2001).

 


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Figure 2. Survival projections for implantable cardioverter defibrillator (ICD) therapy versus medical therapy.

 

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Table 2. Clinical Events, Survival, and Medical Costs for the Duke Medical Therapy Group

 

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Table 3. Costs for Placement of Implantable Cardioverter Defibrillators, Follow-up, Maintenance, and Complications

 

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Table 4. Projected Survival and Medical Costs for the Duke Medical Therapy Group and the Duke Implantable Cardioverter Defibrillator Group

 

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Table 5. Results of Base-Case Analysis

 

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Table 6. Results of One-Way Sensitivity Analysis

 


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Figure 3. Cost-effectiveness of implantable cardioverter defibrillator (ICD) therapy versus medical therapy. ICER = incremental cost-effectiveness ratio.

 





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