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Editorial
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Volume 332:1443-1444 May 25, 1995 Number 21
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Cost Effectiveness of Tissue Plasminogen Activator

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Not so long ago, therapies that led to a survival advantage in randomized trials were quickly endorsed and adopted. The costs required to achieve the clinical benefit were of only minimal interest to the primary decision makers — physicians seeking the best outcomes for their patients. And in that era there would have been little controversy over whether tissue plasminogen activator (t-PA) is a more effective thrombolytic agent than intravenous streptokinase. Laboratory and clinical studies show that t-PA opens coronary arteries occluded by thrombus more rapidly than streptokinase,1 and the Global Utilization of Streptokinase and Tissue Plasminogen Activator for Occluded . . . [Full Text of this Article]

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Related Letters:

Is the Use of t-PA as Compared with Streptokinase Cost Effective?
Rose E. A., Armentano R., Favaloro R. G., Mark D. B.
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N Engl J Med 1995; 333:1009-1010, Oct 12, 1995. Correspondence

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