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Cost-Effectiveness Analysis of the Mediterranean Diet for Persons after a Heart Attack

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Key Points

  • Economic evaluation of the Mediterranean diet for patients following first AMI (acute myocardial infarction).

  • A cost utility analysis was conducted, using a Markov model to describe health status, costs, quality of life and deaths to compare the Mediterranean diet to a prudent Western diet.

  • Program effectiveness was based on the Lyon Diet Heart Study.

  • Costs were estimated in $AU, (and converted to $US and €Euros) based on reported resource use.

  • Performance was measured as cost per quality adjusted life year (QALY) gained.

  • Extensive one-way sensitivity analyses were performed.

  • The Mediterranean diet was estimated to cost less and be more effective (dominant) compared with a prudent Western diet.

  • There was a mean gain in life years of 0.56 per person and a gain in quality adjusted life years of 0.61 per person.

  • Based on the published results from the Lyon Diet Heart Study, and conservative assumptions, the Mediterranean diet is cost saving for persons following first AMI when modeled over 10 years.

  • Policy makers and clinicians should strongly consider application of results to their own setting.

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Acknowledgments

The authors would like to acknowledge Rachelle Opie who assisted with the identification of model costs and Dr. Michel de Lorgeril who provided clinical guidance and input for earlier related work.

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Authors and Affiliations

  1. Health Economics & Policy Group, Division of Health Sciences, University of South Australia, Adelaide, Australia

    Leonie Segal

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  1. Kim Dalziel
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Correspondence to Leonie Segal .

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Editors and Affiliations

  1. University of Arizona Mel and Enid Zucke, 1295 N. Martin, Tucson, 85724-5155, USA

    Joe K Gerald

  2. Arizona Health Science Center, Mel and Enid Zuckerman College of Public, University of Arizona, 1501 N. Campbell Ave. Room 4335, Tucson, 85724-5155, Arizona, USA

    Ronald Ross Watson

  3. Dept. Nutrition & Dietetics, King's College, Stamford St. 150, London, SE1 9NH, United Kingdom

    Victor R. Preedy

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Dalziel, K., Segal, L. (2011). Cost-Effectiveness Analysis of the Mediterranean Diet for Persons after a Heart Attack. In: Gerald, J., Watson, R., Preedy, V. (eds) Nutrients, Dietary Supplements, and Nutriceuticals. Nutrition and Health. Humana Press. https://doi.org/10.1007/978-1-60761-308-4_22

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  • DOI: https://doi.org/10.1007/978-1-60761-308-4_22

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  • Publisher Name: Humana Press

  • Print ISBN: 978-1-60761-307-7

  • Online ISBN: 978-1-60761-308-4

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