Table 3.
Cost-effectiveness analysis of first-trimester cell-free DNA (cfDNA) screening for aneuploidy, based on screening strategy involving first-trimester ultrasound before cfDNA and strategy encompassing cfDNA only
| Strategy | Cost (USD) | Effectiveness (QALY) | Cost-effectiveness ratio (USD/QALY) | ICER (USD/QALY gained) | NMB* |
|---|---|---|---|---|---|
|
| |||||
| Ultrasound before cfDNA | 5215.95 | 0.295 | 17706.99 | 12588.83 | 24 241.03 |
| cfDNA only | 4672.27 | 0.251 | 18 586.28 | — | 20 466.01 |
Assuming willingness-to-pay of 100 000 US dollars (USD) per quality-adjusted life year (QALY). ICER, incremental cost-effectiveness ratio; NMB, net monetary benefit.