Estimation of the possible economic effects of a sequential testing strategy with NT-proBNP before echocardiography in primary care
2014 (English)In: Clinical Laboratory, ISSN 1433-6510, Vol. 60, no 7-8, 881-886 p.Article in journal (Refereed) Published
The object of the study was to estimate the possible economic effects of a sequential testing strategy with NT-proBNP from a primary care payer perspective.
The study data were collected from primary care physicians in the County of Uppland from 2005 through 2012. Two different cut-off levels were used for negative NT-proBNP in the rule-out test: 300 and 400 pg/mL. The cost-effectiveness of the testing strategy was estimated through the short-term cost avoidance and reduction in demand for echocardiographies.
The female patients were slightly older than the males. Based on the data from 2012, the estimated costs for NT-proBNP tests and echocardiographies per county were reduced by EUR 300000/100000 inhabitants with the 300 pg/mL cut-off and EUR 350000/100000 inhabitants with the 400 pg/mL.
The use of NT-proBNP as a rule-out test in a sequential testing strategy reduced the cost for diagnostic work-up of primary care patients with suspected heart failure.
Place, publisher, year, edition, pages
2014. Vol. 60, no 7-8, 881-886 p.
Clinical Laboratory Medicine Clinical Medicine
IdentifiersURN: urn:nbn:se:uu:diva-225801DOI: 10.7754/Clin.Lab.2013.130613ISI: 000342857600001PubMedID: 25016690OAI: oai:DiVA.org:uu-225801DiVA: diva2:722331