Dhruv Kazi Profile picture
Cardiology, outcomes research, health economics | Assoc Prof @HarvardMed | Assoc Director @SmithBIDMC | CCU Director @BIDMChealth
Jun 4, 2024 10 tweets 4 min read
Two @American_Heart Presidential Advisories released today project the future burden of #heartdisease and #stroke in the US
– and the numbers are truly astounding
@CircAHA

What will cardiovascular disease look like in 2050? And how much will it cost?

🧵 tinyurl.com/AHACVCosts
Image We project steep increases diabetes, obesity, and hypertension, and, as a result, large increases in cardiovascular disease

By 2050,
Prevalent CVD = 45 million (60%⬆️)
Diabetes = 80 million (100% ⬆️⬆️)
Obesity = 180 million (70% ⬆️)
Hypertension = 180 million (44% ⬆️)

2/ Image
Mar 17, 2021 17 tweets 4 min read
Building on yesterday’s tweetorial on #COVID19 vaccine economics, here’s part 2:

- How will costs change over time?
- “Never mind the costs, focus on health equity”
- What about the J&J vaccine?
- Are vaccination efforts sustainable?

THREAD
@Bob_Wachter @KBibbinsDomingo @rwyeh ICYMI

Top-line results from yesterday’s tweetorial:

- The US govt has paid $40-105 per person for the vaccine

- It may cost an additional $70-90 per person into people’s arms (vs. $45 that Medicare is currently offering to pay).

2/
Mar 16, 2021 20 tweets 8 min read
The US program for #COVID19 vaccination is progressing well – but how much does COVID-19 #vaccination cost per person?

I recently discussed this @HarvardMed Grand Rounds & figured I'd share some thoughts with #medtwitter.
@ashishkjha @Bob_Wachter @KBibbinsDomingo
THREAD
1/ First, a quick poll.

How much do you think #COVID19 vaccination costs PER PERSON in the US?

2/
May 4, 2020 10 tweets 5 min read
How much should we be willing to pay for a course of #remdesivir?

A new report by @icer_review suggests $4,460 per hospitalized patient with #COVID19.

As always, the devil is in the details.

THREAD 1/
@EricTopol @Bob_Wachter @KBibbinsDomingo @icer_review's approach is transparent and parsimonious (which is good).

Assumes:
- 66% admitted to med-surg floor ($13K, 4% mort)
- 8% to ICU, no vent ($34K, 10% mort)
- 28% to ICU on vent ($61K, 31% mort).

Seem reasonable. 2/