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Economic evaluation of the routine use of echocardiography versus natriuretic peptide and ECG-targeted echocardiography in the diagnosis of heart failure

Stevenson, M., Roberts, J. and Cowie, M.R. (2005) Economic evaluation of the routine use of echocardiography versus natriuretic peptide and ECG-targeted echocardiography in the diagnosis of heart failure. Discussion Paper. (Unpublished)

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Abstract

Objectives: To investigate the most efficient use of echocardiography and natriuretic peptide testing in the diagnosis of heart failure.

Design: An economic model comparing two strategies: (A) provide echocardiography and electrocardiogram (ECG) for all individuals who present to a GP with symptoms that may be due to heart failure; (B) carry out B-type natriuretic peptide (BNP) blood test and ECG on all such individuals and provide echocardiography only where an abnormality is detected in one of more of these tests.

Setting: Primary care in the UK NHS.

Subjects: Individuals who present to a GP with new symptoms of heart failure.

Main outcome measures: Cost per life year gained.

Results: Baseline cost per life year gained by strategy A compared with strategy B is £3,987.

Conclusions: Immediate echocardiography is the most cost-effective option. Where echocardiography is a scarce resource, efficient use can be obtained by using BNP and ECG tests to identify patients most likely to have heart failure.

Item Type: Monograph (Discussion Paper)
Institution: The University of Sheffield
Academic Units: The University of Sheffield > Faculty of Social Sciences (Sheffield) > Department of Economics (Sheffield)
The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield) > Health Economics and Decision Science > HEDS Discussion Paper Series
Depositing User: ScHARR / HEDS (Sheffield)
Date Deposited: 23 Jun 2010 14:10
Last Modified: 29 Jun 2014 03:29
Status: Unpublished
Identification Number: HEDS Discussion Paper 05/06
URI: http://eprints.whiterose.ac.uk/id/eprint/10934

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