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Articles Published Processes
8/18/2014 5:14:00 PM | Browse: 948 | Download: 903
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Received |
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2013-12-16 14:12 |
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Peer-Review Started |
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2013-12-16 15:47 |
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To Make the First Decision |
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2014-01-15 13:10 |
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Return for Revision |
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2014-01-20 19:01 |
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Revised |
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2014-02-09 22:44 |
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Second Decision |
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2014-05-05 08:50 |
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Accepted by Journal Editor-in-Chief |
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Accepted by Executive Editor-in-Chief |
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2014-05-05 09:50 |
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Articles in Press |
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2014-05-23 09:44 |
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Publication Fee Transferred |
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Edit the Manuscript by Language Editor |
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Typeset the Manuscript |
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2014-07-28 11:57 |
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Publish the Manuscript Online |
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2014-08-18 16:49 |
Category |
Gastroenterology & Hepatology |
Manuscript Type |
Evidence-Based Medicine |
Article Title |
Cost-effectiveness analysis of beta-blockers vs endoscopic surveillance in patients with cirrhosis and small varices
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Manuscript Source |
Invited Manuscript |
All Author List |
Lorenza Di Pascoli, Alessandra Buja, Massimo Bolognesi, Sara Montagnese, Angelo Gatta, Dario Gregori and Carlo Merkel |
Funding Agency and Grant Number |
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Corresponding Author |
Carlo Merkel, MD, Hepatic Hemodynamic Laboratory and Clinica Medica 5, Department of Medicine, University of Padua, via Giustiniani 2, 35128 Padova, Italy. carlo.merkel@unipd.it |
Key Words |
Pharmaco-economical analysis; Cirrhosis; Esophageal varices; Variceal bleeding; Primary prophylaxis |
Core Tip |
In patients with cirrhosis and small esophageal varices no study so far has evaluated the economical consequences of replacing traditional endoscopic surveillance with primary prophylaxis with beta-blockers from this stage. In this study, a decision analysis based on stochastic regression trees and Markov models compared cost-effectiveness of primary prophylaxis with beta-blockers (starting from the diagnosis of small varices) and endoscopic surveillance (and beta-blockers administration when large varices develop). Beta-blocker therapy from the beginning turned out to be more effective and less expensive. This result demonstrate that an early beta-blocker therapy besides being clinically effective, is also also cost-effective. |
Publish Date |
2014-08-18 16:49 |
Citation |
Di Pascoli L, Buja A, Bolognesi M, Montagnese S, Gatta A, Gregori D, Merkel C. Cost-effectiveness analysis of beta-blockers vs endoscopic surveillance in patients with cirrhosis and small varices. World J Gastroenterol 2014; 20(30): 10464-10469 |
URL |
http://www.wjgnet.com/1007-9327/full/v20/i30/10464.htm |
DOI |
http://dx.doi.org/10.3748/wjg.v20.i30.10464 |
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