Table 6.
Proportion of Cases and Costs Identified for the Different Screening Strategies for Doubling the Provider Costs or Cutting the HbA1c Test Costs in Half
| Screening Strategy and Cutoff Value | Cases Identified, % | Double Provider Costs, $
|
50%HbAlc Test Costs, $
|
||
|---|---|---|---|---|---|
| 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-hOGTT(200mg/dL0 | 100 | 206076 8 76 | 412154 | ||
| HbAlc | |||||
| 5.5% | 33 | 188478737 | 1 130986 | 121138738 | 726905 |
| 5.7% | 33 | 171923136 | 1 031 642 | 104 583137 | 627562 |
| 6.5% | 33 | 145179473 | 871164 | 77 839474 | 467084 |
| Dysglycemia (prediabetes and diabetes) | |||||
| 2-hOGTT(140mg/dL) | 100 | 206076876 | 515 | ||
| Random glucose test | |||||
| 100mg/dL | 55 | 159416714 | 725 | ||
| 110mg/dL | 30 | 136446530 | 1137 | ||
| HbAlc | |||||
| 5.5% | 45 | 187334701 | 1041 | 119994 702 | 667 |
| 5.7% | 32 | 169969072 | 1328 | 102 629073 | 802 |
| 6.5% | 7 | 144 323987 | 5154 | 76983 988 | 2749 |
| 1-h Glucose challenge test | |||||
| 110mg/dL | 63 | 193 979430 | 770 | ||
| 120mg/dL | 44 | 174 703157 | 993 | ||
Abbreviations: HbA1c hemoglobin A1c; OGTT, oral glucose tolerance test.