Nichtmedikamentöse Sekundärprävention der koronaren Herzkrankheit. Gesundheitsökonomische Aspekte

Aim: Both the diagnosis statistics and costs illustrate the health economic relevance of coronary heart diseases. The aim of this study is to assess the cost-effectiveness of non-pharmacological secondary prevention strategies. These include multimodal prevention programmes as well as single component interventions in the form of smoking cessation, psychosocial interventions, physical exercise and diet modification. Methods: A literature search was conducted by the German Institute for Medical Documentation and Information (DIMDI) in 36 electronic databases. Two independent reviewers assessed the identified studies for their relevance and quality using standardized criteria. Results: A total of 3,789 references were identified, of which 19 studies were considered in the assessment. Conclusions: While the cost-effectiveness of multimodal programmes has often been investigated and confirmed, there is a lack of appropriate studies evaluating single component interventions. Here, further research is needed.