Cost-effectiveness Analysis of Screening for Abdominal Aortic Aneurysms Based on Five Year Results from a Randomised Hospital Based Mass Screening Trial☆
| Autor: | Jes S. Lindholt, Eskild W. Henneberg, Helge Fasting, Søren Juul |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Time Factors Cost effectiveness Cost-Benefit Analysis Denmark Cost-Effectiveness Analysis law.invention Randomized controlled trial law Surgical Procedures Elective medicine Humans Mass Screening Omkostnings-nytte analyse health care economics and organizations Mass screening Survival analysis Aged Randomized Controlled Trials as Topic Randomised controlled trial Medicine(all) Cost–benefit analysis business.industry Prevention Diagnosis-related group Health Care Costs Cost-effectiveness analysis Middle Aged medicine.disease Survival Analysis Hospitals Abdominal aortic aneurysm Models Economic Elective Surgical Procedures Screening Surgery Cardiology and Cardiovascular Medicine business Vascular Surgical Procedures Aortic Aneurysm Abdominal |
| Zdroj: | Lindholt, J S, Juul, S, Fasting, H & Henneberg, E W 2006, ' Cost-effectiveness analysis of screening for abdominal aortic aneurysms based on five year results from a randomised hospital based mass screening trial ', European Journal of Vascular and Endovascular Surgery, vol. 32, no. 1, pp. 9-15 . https://doi.org/10.1016/j.ejvs.2006.01.014 Lindholt, J S, Juul, S, Fasting, H & Henneberg, E W 2006, ' Cost-effectiveness analysis of screening for abdominal aortic aneurysms based on five year results from a randomised hospital based mass screening trial ', European Journal of Vascular and Endovascular Surgery, vol. 32, no. 1, pp. 9-15 . |
| ISSN: | 1078-5884 |
| DOI: | 10.1016/j.ejvs.2006.01.014 |
| Popis: | Udgivelsesdato: 2006-Jul BACKGROUND: The aim of this study was to estimate the cost effectiveness of screening for abdominal aortic aneurysm (AAA). MATERIAL AND METHODS: All 12,639 men born in the years 1921-1933 (aged 64-73) living in Viborg County, Denmark, were randomly allocated either to receive an invitation to abdominal ultrasound scanning for AAA or to be controls. Costs for screening and surveillance were assessed prospectively. Diagnosis Related Group (DRG) costs from 1999 were used concerning admissions with uncomplicated and complicated operations. Admissions for AAA surgery were retrospectively classified according to complications in patient records. RESULTS: Mean follow-up time was 52 months. 76.6% of invited men attended screening, and 191 (4.0%) had an AAA. As previously reported, the cumulative 5-year AAA-specific mortality in the invited group was significantly reduced by 67% compared to the control group (P = 0.003). The costs were estimated to be Euro 11.23 per scan. The costs per life-year saved were Euro 9057 (Euro 5872-20,063) after 5 years, and were expected to decrease to Euro 2708 (Euro 1758-6031) after 10 years and to Euro 1825 (Euro 1185-4063) after 15 years. CONCLUSION: Screening of 64-73 years old males in Denmark seems cost effective. |
| Databáze: | OpenAIRE |
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