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Optimising TRIUMPH with 6·25 mg chlorthalidone.
The Lancet Global Health ( IF 34.3 ) Pub Date : 2020-02-01 , DOI: 10.1016/s2214-109x(19)30535-2
Anil Pareek 1 , C Venkata S Ram 2 , Ravi T Mehta 3 , Shruti Dharmadhikari 3
Affiliation  

The TRIUMPH trial found that use of the low-dose fixed-combination triple pill as initial therapy provided better blood pressure control than usual care. In their modelled economic evaluation of TRIUMPH, Thomas Lung and colleagues reported that this triple-pill strategy is cost-effective as a first-line treatment option, especially for older individuals. For their analysis, the authors referred to WHO-CHOICE, which includes health system costs associated with clinic visits, medications, and inpatient hospital admissions, but excludes those associated with laboratory examinations. This is important because the higher-dose triple pill includes 25 mg chlorthalidone, and the following points must be considered.

中文翻译:

用6·25 mg氯噻酮优化TRIUMPH。

TRIUMPH试验发现,使用低剂量固定组合三联丸作为初始治疗,与常规治疗相比,可以更好地控制血压。在对TRIUMPH的模型经济评估中,Thomas Lung及其同事报告说,这种三丸策略作为一线治疗方案具有成本效益,特别是对于年长的个体。为了进行分析,作者提到了WHO-CHOICE,其中包括与门诊就诊,药物和住院患者的住院有关的卫生系统费用,但不包括与实验室检查有关的费用。这一点很重要,因为高剂量三联丸包含25毫克的氯噻酮,必须考虑以下几点。
更新日期:2020-01-23
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