Cost-effectiveness of angiotensin-converting-enzyme inhibitors and angiotensin II receptor blockers in newly diagnosed type 2 diabetes in Germany
CC Adarkwah, A Gandjour · Diabetologie und Stoffwechsel · 2011 · Heft 08
Bibliografische Angaben
Zusammenfassung
Objective: Type 2 diabetes is the main cause of end-stage renal disease (ESRD) in Europe and the USA. Angiotensin-converting enzyme (ACE) inhibitors slow down the progression of renal disease and therefore provide a renal-protective effect. However, uncertainty exists concerning the best time to start with ACE-inhibitor therapy. Furthermore, about 10% of patients develop ACE-inhibitor induced cough and thus are eligible for more expensive angiotensin II receptor blockers (ARBs). The aim was to assess the most cost-effective time to start an ACE inhibitor (or ARB therapy in the event of cough) in patients with ty…