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 (Unpublished)Full text available as:
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|
|Identification Number:||HEDS Discussion Paper 05/06|
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