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The current cost of angina pectoris to the National Health Service in the UK
  1. S Stewart1,*,
  2. N Murphy1,
  3. A Walker2,
  4. A McGuire3,
  5. J J V McMurray1
  1. 1Department of Cardiology, Western Infirmary, Glasgow, UK
  2. 2The Robertson Centre for Biostatistics, University of Glasgow, Glasgow, UK
  3. 3Department of Health and Social Care, the London School of Economics, Houghton St, London, UK
  1. Correspondence to:
    Professor John McMurray, Department of Cardiology, Western Infirmary, Glasgow G11 6NT, UK;


Objective: To calculate the cost of angina pectoris to the UK National Health Service (NHS) in the year 2000.

Methods: Calculation of the cost of hospital admissions, revascularisation procedures, hospital outpatient consultations, general practice (GP) consultations, and prescribed drug treatment.

Results: 634 000 individuals (1.1% of the UK population) consulted GPs 2.35 million times, costing £60.5 million. They required 16.0 million prescriptions (cost £80.7 million) and 254 000 hospital outpatient referrals (cost £30.4 million). There were 149 000 hospital admissions, 117 000 coronary angiograms, 21 400 coronary artery bypass operations, 17 700 percutaneous coronary interventions, and 516 000 outpatient visits, at a cost of £208.4 million, £69.9 million, £106.2 million, £60.7 million, and £52.2 million, respectively. The direct cost of angina was therefore £669 million (1.3% of total NHS expenditure), with hospital bed occupancy and procedures accounting for 32% and 35% of this total, respectively.

Conclusions: Angina is a common and costly public health problem. It consumed over 1% of all NHS expenditure in the year 2000, mainly because of hospital bed occupancy and revascularisation procedures. This is likely to be a conservative estimate of its true cost.

  • angina pectoris
  • cost evaluation
  • morbidity
  • hospital admission
  • CABG, coronary artery bypass grafting
  • CMR, continuous morbidity record
  • GP, general practitioner
  • ISD, information and statistics division of the NHS in Scotland
  • NHS, National Health Service
  • PCI, percutaneous coronary intervention
  • SMR, Scottish morbidity record scheme
  • UAP, unstable angina pectoris

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  • * Also Division of Health Sciences, University of South Australia, Australia