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. 2023 Jun 16;41(10):1183–1203. doi: 10.1007/s40273-023-01287-2

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