Table 5.
Proportion of Cases and Costs Identified for the Different Screening Strategies for a 25% Increase in Prevalence, a 25% Decrease in Prevalence, or Adult Prevalence Assumptions
Screening Strategy and Cutoff Value | Cases Identified, % | 25% Increase in Prevalence
|
25% Decrease in Prevalence
|
Adult Prevalence Assumptions (8% for Diabetes and 37% for Prediabetes)
|
|||
---|---|---|---|---|---|---|---|
Total Costs (Direct and Indirect), $ | Cost per Case Identified (Direct and Indirect), $ | Total Costs (Direct and Indirect), $ | Cost per Case Identified (Direct and Indirect), $ | Total Costs (Direct and Indirect), $ | Cost per Case Identified (Direct and Indirect), $ | ||
Diabetes mellitus | |||||||
2-h OGTT(200mg/dL) | 100 | 156111876 | 249779 | 156111876 | 416298 | 156111876 | 781 |
HbAlc | |||||||
5.5% | 33 | 138513150 | 664 930 | 138514325 | 1108225 | 137576050 | 2064 |
5.7% | 33 | 121958377 | 585459 | 121957896 | 975 761 | 122 341851 | 1835 |
6.5% | 33 | 95216051 | 457 083 | 95 212895 | 761 779 | 97732 759 | 1466 |
Dysglycemia (prediabetes and diabetes) | |||||||
2-hOGTT(140mg/dL) | 100 | 156111876 | 312 | 156111876 | 520 | 156111876 | 169 |
Random glucose test | |||||||
100mg/dL | 55 | 110385806 | 401 | 108517621 | 658 | 114 355 700 | 225 |
110mg/dL | 30 | 87245787 | 582 | 85 717272 | 952 | 90493 882 | 326 |
HbA1c | |||||||
5.5% | 45 | 137454618 | 611 | 137284783 | 1017 | 137815518 | 331 |
5.7% | 32 | 120258824 | 752 | 119749319 | 1247 | 121341523 | 410 |
6.5% | 7 | 94 571280 | 2702 | 94146693 | 4483 | 95 473 529 | 1474 |
1-h Glucose challenge test | |||||||
110mg/dL | 63 | 145118357 | 461 | 142 910502 | 756 | 149810049 | 257 |
120mg/dL | 44 | 125 799626 | 572 | 123 676688 | 937 | 130310868 | 326 |
Abbreviations: HbA1c hemoglobin A1c; OGTT, oral glucose tolerance test.