Cost-Effectiveness of Intensive Blood Pressure Control in Youth With Chronic Kidney Disease.

ABSTRACT:

Background

Intensive blood pressure (BP) control in youth with chronic kidney disease (CKD) slows progression, delaying the need for kidney replacement therapy (KRT). Most youth with CKD have hypertension and BP control is difficult to achieve outside of controlled experimental settings. Implementing effective BP control strategies in this population may be cost-saving despite requiring additional resources. Our objective was to determine the economic and clinical impact of intensive versus usual care for BP management in youth with CKD in a microeconomic model.

Methods

We developed a decision tree from the US payer perspective to estimate the total costs and clinical effect of an intensified BP intervention over 5 years, modeled after the ESCAPE trial (Effect of Strict Bloo

SUBMITTER: Vincent CL 

PROVIDER: S-EPMC11796311 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature