Table 5.
Estimated cost for thromboprophylaxis of both established and according to new algorithm
| Established routine
|
New routine
|
|||
|---|---|---|---|---|
| Prophylaxis to women with priorVTE
|
High risk according to algorithm
|
|||
| Risk score 3 | Risk score 2 | |||
| Time of prophylaxios/women | 30 weeks1 | 6 Weeks | 1 Week | |
| Cost per week | $10 | $10 | $10 | |
| Incidence in pregnant population2 | 0.3% | 0.3% | 4% | |
| Number of women per 10,0002 | 30 | 30 | 400 | |
| Estimation of cost in population per 10,0003 | 30*$10*30 | 30*$10*6 | 400*$10*1 | |
| $9000 | $1800 | $4000 | ||
| Cost per 10,000 women | =$9000 | $5800 | ||
| Expected no of VTE | 10% | 7/10,0004 | ||
| Possible preventable VTE cases per 10,000 pregnancies6 | 3 | 3.45 | ||
| Cost per preventable VTE case | $3000 | $1700 | ||
| Cost per patient (CPP) price for VTE7 | ||||
| Deep venous thrombosis | $5580 | |||
| Pulmonary emboli | $7836 | |||
1
Some 24 weeks during pregnancy and 6 weeks after delivery.
2
According to our prior data (Lindqvist et al 2002b).
3
Only including cost of LMWH, about $10/week.
4
Data from this and prior study (Lindqvist et al 1999).
5
Data from this study about 50% preventable.
6
Possible preventable cases assuming 100% riskreduction.
7
According to Swedish National Board of Health (Socialstyrelsen) 2006.