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Centre for Policy on Ageing | |
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| Analysis of cost effectiveness of screening Danish men aged 65 for abdominal aortic aneurysm | | Author(s) | Lars Ehlers, Kim Overad, Jan Sorensen |
| Journal title | British Medical Journal, vol 338, no 7710, 27 June 2009 |
| Pages | pp 1542-1544 |
| Source | www.bmj.com |
| Keywords | Older men ; Cardiovascular diseases ; Screening ; Cost effectiveness ; Death rate [statistics] ; Mathematical models ; Denmark. |
| Annotation | The authors modelled the cost effectiveness of screening for a hypothetical population of men aged 65 invited or not invited for ultrasound screening in the Danish population. They used published results from the Danish Vascular Registry; and a hybrid decision tree and Markov model was developed to simulate the short-term and long-term effects of screening for abdominal aortic aneurysm compared with no systematic screening on clinical and cost effectiveness outcomes. Probabilistic sensitivity analyses using Monte Carlo simulation were carried out. The estimated costs per quality adjusted life year (QALY) gained discounted at 3% per year over a lifetime for costs and QALYs was £43485. At a willingness to pay threshold of £30000, the probability of screening for abdominal aortic aneurysm being cost-effective was less than 30%. One way sensitivity analyses showed the incremental cost effectiveness ratio varying from £32640 to £86001 per QALY. Screening for abdominal aortic aneurysm does not seem to be cost-effective. Further research is needed on long term quality of life outcomes and costs. (RH). |
| Accession Number | CPA-090707202 A |
| Classmark | BC: CQ: 3V: WEC: S5: 3LM: 76K * |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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