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. Author manuscript; available in PMC: 2024 Jul 1.
Published in final edited form as: J Pediatr. 2023 Apr 4;258:113409. doi: 10.1016/j.jpeds.2023.113409

Table 3.

Sensitivity analysis results: Incremental cost-effectiveness ratios for HCV infant testing strategies versus HCV RNA testing at 2–6 months for infants with known exposure, by proportion of pregnant persons that are screened for HCV infection, United States, 2022

Strategy (reference=Known exposure: HCV RNA test at 2–6 months)
Proportion of
pregnant
persons
screened for
HCV
Known exposure: Anti-HCV
with reflex to HCV RNA at 18
months
(Test Strategy 1)
Universal testing: Anti-HCV
with reflex to HCV RNA at 18
months
(Test Strategy 2)
Universal testing:
HCV RNA test at
2–6 months
(Test Strategy 3)
0.50 More expensive, fewer QALYS 129,476 53,665
0.55 More expensive, fewer QALYS 569,548 59,532
0.60 More expensive, fewer QALYS More expensive, fewer QALYS 67,746
0.65 More expensive, fewer QALYS More expensive, fewer QALYS 76,727
0.70 More expensive, fewer QALYS More expensive, fewer QALYS 92,427
0.75 More expensive, fewer QALYS More expensive, fewer QALYS 113,463
0.80 More expensive, fewer QALYS More expensive, fewer QALYS 139,075
0.85 More expensive, fewer QALYS More expensive, fewer QALYS 197,018
0.90 More expensive, fewer QALYS More expensive, fewer QALYS 292,229
0.95 More expensive, fewer QALYS More expensive, fewer QALYS 661,659

Notes: The reference strategy is HCV RNA testing at 2–6 months among infants with known exposure. Assumes 43.0% of infants born to HCV RNA+ pregnant persons attend an 18-month visit. Assumes 73.5% of infants born to HCV RNA+ pregnant persons attend a 2–6 month visit. Assumes 75.0% of infants born to pregnant persons without HCV attend an 18-month visit. Assumes 85.0% of infants born to pregnant persons without HCV attend a 2–6 month visit.