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Estimation of the possible economic effects of a sequential testing strategy with NT-proBNP before echocardiography in primary care
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Biochemial structure and function.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Biochemial structure and function.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Biochemial structure and function.
2014 (English)In: Clinical Laboratory, ISSN 1433-6510, Vol. 60, no 7-8, 881-886 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND:

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.

METHODS:

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.

RESULTS:

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.

CONCLUSIONS:

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.
National Category
Clinical Laboratory Medicine Clinical Medicine
Identifiers
URN: urn:nbn:se:uu:diva-225801DOI: 10.7754/Clin.Lab.2013.130613ISI: 000342857600001PubMedID: 25016690OAI: oai:DiVA.org:uu-225801DiVA: diva2:722331
Available from: 2014-06-07 Created: 2014-06-07 Last updated: 2017-12-05Bibliographically approved

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Helmersson-Karlqvist, JohannaLarsson, Anders

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