Table 1. Probability and cost variables.
Base case | Range | References | |
---|---|---|---|
Variables | |||
T21 prevalence, 1st trimester | 1 in 530 | (1 in 450 to 1 in 600) | [18] |
T18 prevalence, 1st trimester | 1 in 1100 | (1 in 900 to 1 in 1500) | [19] |
T13 prevalence, 1st trimester | 1 in 3500 | (1 in 2500 to 1 in 5000) | [19] |
FTS performance | |||
Cumulative false-positive rate | 5% | (3–7%) | [2] |
Sensitivity, T21 | 85% | (75–90%) | [2] |
Sensitivity, T18 | 84% | (80–90%) | [3] |
Sensitivity, T13 | 84% | (80–90%) | [3] |
% patients referred out for screening | 35% | (25–50%) | Data on file |
NIPT performance | |||
Cumulative false-positive rate | 0.3% | (0.1–0.5%) | [6] |
Sensitivity, T21 | 99.0% | (98.0–99.9%) | [6] |
Sensitivity, T18 | 96.8% | (90.0–99.9%) | [6] |
Sensitivity, T13 | 92.1% | (85.0–95.0%) | [6] |
Termination rate for T21 | 75% | (60–90%) | [20] |
Termination rate for T18 | 90% | (80–95%) | [21] |
Termination rate for T13 | 90% | (80–95%) | [21] |
Procedure-related miscarriage | 0.5% | (0.2–2%) | [9,22] |
Costs | |||
NIPT | $400–700 | ($400–$700) | n/a |
1st trimester serum | $48.30 | ($30–$100) | see text |
NT | $122.51 | ($100–$300) | see text |
Invasive procedure | $1300 | ($500–$2500) | [9] |
Office visit with counseling | $120 | ($80–$200) | [9] |
T21 birth | $850 000 | ($600 000–$1 000 000) | [23] |
T18 birth | $50 000 | ($30 000–$70 000) | [23] |
T13 birth | $38 000 | ($25 000–$50 000) | [23] |
Termination | $600 | ($400–$1000) | [9] |