Table 3.
Outcomes of health economic evaluations
| Publicationa | Costs for early detection strategy per person (in 2021 EUR)b | Costs for comparator per person (in 2021 EUR)b | Incremental costs (in 2021 EUR)b | QALYs for early detection strategy per persona | QALYs for comparator per persona | Incremental QALYa | Base case ICER (in 2021 EUR/QALY)b | Reported WTP threshold (converted to 2021 EUR)b | Probability early detection strategy is cost effective (in %)a |
|---|---|---|---|---|---|---|---|---|---|
| Atrial fibrillation | |||||||||
| Aronsson et al., 2017 [40] | NR | NR | 60.96 | NR | NR | 0.00 | 18,046 | 55,019 | NR |
| Birkemeyer et al., 2020 [21] | NR | NR | − 132.25 | 7.92 | 7.91 | 0.02 | Dominant | NR | 100 |
| Giebel, 2020 [41] | 7363 | 6676 | 686.92 | NR | NR | NR | NR | NR | 75 |
| Hill et al., 2020 [42] | 503c | 489c | 14.09c | NR | NR | 0.00 | 6854 | 24,726 | NR |
| Jacobs et al., 2018 [22] | 12,583 | 13,398 | − 815.07 | 8.02 | 7.75 | 0.27 | Dominant | 21,344 | 99.8 |
| Jacobs et al., 2021 [43] | NR | NR | 509.80 | NR | NR | 0.41 | 1232 | 1808 | 99.9 |
| McIntyre et al., 2020 [44] | NR | NR | 229.13 | NR | NR | 0.01 | 41,730 | 41,813 | 24 |
| Moran et al., 2016 [45] | 16,080 | 15,987 | 92.43 | 7.82 | 7.82 | 0.00 | 25,313 | 49,517 | 79 |
| Oguz et al., 2020 [46] | 6949 | 6325 | 624.37 | 7.01 | 7.00 | 0.01 | 47,644 | 99,364 | 88 |
| Orchard et al., 2020 [26] | NR | NR | NA | NR | NR | NR | 10,262 | NR | NR |
| Proietti et al., 2019 [47] | 249c | 170c | 78.81c | 8.83 | 8.82 | 0.01 | 6975 | 31,195 | NR |
| Schnabel et al., 2022 [48] | NR | NR | NR | NR | NR | NR | 32,401 | NR | NR |
| Sciera et al., 2022 [49] | 102c | 42c | 60.19c | 7.31c | 7.30c | 0.01c | 10,032 | 23.478 | NR |
| Tarride et al., 2018 [50] | 150 | 159 | 8.68 | 8.74 | 8.74 | 0.00 | Dominant | 37,004 | 63 |
| Wahler et al., 2022 [20] | NR | NR |
− €83.19 (CH) − €7.56 (UK) €6.63 (GR) €17.15 (NL) €22.1 (PL) €36.69 (S) |
NR | NR |
0.01 (CH) 0.01 (UK) 0.01 (GR) 0.01 (NL) 0.02 (PL) 0.01 (S) |
Dominant (CH) Dominant (UK) €543 (GR) €1698 (NL) €1182 (PL) €2830 (S) |
NR | NR |
| Abdominal aortic aneurysm | |||||||||
| Fite et al., 2021 [51] | NR | NR | NR | NR | NR | NR | 13,664 | NR | NR |
| Hager et al., 2017 [52] | 425 | 260 | 164.84 | 10.77 | 10.75 | 0.02 | 7093 | 26,913 | ~ 100c |
| Hultgren et al., 2019 [53] | 680 | 456 | 224.48 | 10.67 | 10.65 | 0.03 | 8436 | 11,004 | 81 |
| Nair et al., 2019 [54] | 20,352c | 20,257c | 94.85 | 9.21 | 9.2 | 0.01 | 5174 | 14,762 | 80 |
| Sweeting et al., 2021 [55] | 314 | 239 | 74.69 | NR | NR | 0.01 | 9816 | 23,719 | 49 |
| Thompson et al., 2018 [19] | 149 | 80 | 68.44 | 8.73 | 8.73 | 0.00 | 34,227 | 30,370 | 42 |
| Wanhainen et al., 2016 [56] | 1389 | 896 | 492.97 | NR | NR | 0.06 | 8550 | NR | NR |
| Zarrouk et al. 2016 [29] | 901 | 713 | 187.69 | 10.93 | 10.92 | 0.01 | 17,447 | 22,211 | NR |
| Hypertension | |||||||||
| Beyhaghi and Viera, 2019 [57] | NR | NR | − 4815.59 | NR | NR | 0.08 | Dominant | 48,031 | 100 |
| Dehmer et al., 2017 [58] | NR | NR | 1091.79 | NR | NR | 0.16c | 43,371 | 44,712 | NR |
| Lee et al., 2021 [59] | 24,516c | 24,468c | 48.01c | 18.56c | 18.56c | 0.00c | 14,716 | 22,160 | NR |
| Monahan et al., 2018 [31] | 4084 | 3947 | 137.39 | 18.153 | 18.116 | 0.04 | 3713 | 24,104 | 100 |
| Nguyen et al., 2016 [24] | 242 | 232 | 10.49 | 5.96 | 5.95 | 0.00 | 3599 | 13,412 | 99c |
| Rosendaal et al., 2016 [23] | 69 | 54 | 14.76 | NR | NR | NR | 655 | 2452 | 99 |
| Stol et al., 2021 [32] | NR | NR | NR | NR | NR | NR | 339,832 | 22.211 | NR |
| 10-year CVD risk | |||||||||
| Hynninen et al., 2019 [60] | 1848 | 1817 | 30.91 | 7.63 | 7.62 | 0.01 | 2361c | 55,195 | 100 |
| Kariuki et al., 2018 [25] | 2803 | 3111 | − 307.27c | NR | NR | NR | Dominant | NR | NR |
| Kievit et al., 2017 [61] | 2593 | 3870 | − 1214.93 | 6.3 | 6.21 | 0.09 | Dominant | 22,988 | 95c |
| Kypridemos et al., 2018 [30] | NR | NR | − 0.23c | NR | NR | 0.00 | Dominant | 26,819 | 100 |
| Lagerweij et al., 2020 [62] | 11,871 | 9679 | 2192.19 | 27.41 | 27.35 | 0.06 | 35,933 | 20,536 | 10c |
| Smith et al., 2019 [63] | 26,395 | 29,952 | − 3556.74 | 15.53 | 15.37 | 0.16 | Dominant | NR | NR |
| Coronary artery disease | |||||||||
| van Kempen et al., 2016 [64] | 13,601 | 12,786 | 814.51 | 14.68 | 14.65 | 0.03 | 27,151 | 41,813 | 45 |
| Venkataraman et al., 2021 [65] | 5540 | 5345 | 130.42 | 9.39 | 9.38 | 0.01 | 13,505 | 44,973 | 91 |
| Ying et al., 2020 [36] | 373,884 | 371,074 | 2810.27c | 7.67 | 7.31 | 0.36c | 8217 | 36,938 | 94 |
| Intracranial aneurysm | |||||||||
| Flahault et al., 2018 [66] | NR | NR | NR | NR | NR | 1.29c | NR | 55,019 | 99 |
| Malhotra et al., 2019 [39] | 19,713 | 146,979 | − 127,265.67c | 25.86 | 22.99 | 2.87 | Dominant | 99,364 | ~ 100c (vs no prevention) |
| Peripheral artery disease | |||||||||
| Itoga et al., 2018 [67] | 19,407 | 19,115 | 324.69 | 9.65 | 9.65 | 0.00 | 85,263 | 48,031 | NA |
| Lindholt and Søgaard, 2021 [68] | 3974 | 3323 | 650 | 9.53 | 9.48 | 0.05 | 12,397 | NR | NR |
| Bicuspid valve stenosis | |||||||||
| Tessler et al., 2021 [69] | 2433 | 3103 | − 669.66 | 26.8 | 26.5 | 0.3 | Dominant | 45,493 | 83 |
| Corotid artery stenosis | |||||||||
| Högberg et al., 2018 [70] | 9581 | 8322 | 1259.81 | 7.67 | 7.47 | 0.1993 | 6321 | 25,309 | NR |
| Dilated cardiomyopathy | |||||||||
| Catchpool et al., 2019 [28] | 2432 | 2229 | 202.67 | 14.96 | 14.92 | 0.04 | 2094 | 33,778 | 90 |
| Heart failure | |||||||||
| van Giessen et al., 2016 [71] | 8368 | 7477 | 891.31 | 12.48 | 12.35 | 0.13c | 6729 | 22,008 | 90 |
| Left ventricular disfunction | |||||||||
| Tseng et al., 2021 [72] | 198,634 | 197,831 | 802.22c | 9.53 | 9.52 | 0.02c | 47,068 | 90,391 | 93 |
| Overall CVD | |||||||||
| Crossan et al., 2017 [73] | NR | NR | 24.65c | NR | NR | 0.00c | 2824 | 30,370 | 45.6c |
CH Switzerland, CVD cardiovascular disease, EUR euro, GR Greece, ICER incremental cost-effectiveness ratio, NA not applicable, NL Netherlands, NR not reported, PL Poland, QALY quality-adjusted life-year, S Serbia, UK United Kingdom, WTP willingness-to-pay threshold
aParameters that were directly extracted from the studies
bParameters that were synthesised by the reviewers after extraction of data
cEstimated outcomes that were not directly reported, but could be derived from text, tables or figures