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. Author manuscript; available in PMC: 2018 Sep 19.
Published in final edited form as: Circulation. 2017 Jul 7;136(12):1087–1098. doi: 10.1161/CIRCULATIONAHA.117.027067

Table 3. Comparative Cost-Effectiveness of Statin Use for Primary Prevention of Coronary Heart Disease (2016-2025), Relative to Status Quo.

ATP III ACC-AHA Age/Sex-Based
Total Additional Persons Acted On* 8.76 m 21.0 m 49.9 m
Total Cost -$10.7 b -14.6 b -$26.0 b
 Treatment costs $8.29 b $21.6 b $35.0 b
 Screening costs§ $2.65 b $6.36 b $4.65 b
 Savings from events averted -$19.0 b -$36.1 b -$61.1 b
Incident CHD Events Averted 341,000 578,000 999,000
QALYs Saved 253,000 436,000 705,000
Lives Saved 42,300 86,000 135,000
Total Cost per QALY (ICER) Cost-saving Cost-saving Cost-saving
NNT per QALY 35 49 71
NNT per Life Saved 205 245 370
*

Total persons are relative to the status quo scenario.

7.6 million started on statins de novo; 1.2 with prior dose intensified.

All costs of treatment (including medication costs).

§

The cost of adverse outcomes; lipid and liver function tests; and physician visits associated with statin use.