Key result
Screening 65-year-old men for abdominal aortic aneurysm was cost-effective, yielding a cost of €4832 per life-year gained and €6325 per quality-adjusted life year gained.
Why the study?
Is screening for abdominal aortic aneurysm cost-effective in 65-year-old men based on contemporary data?
Is screening for abdominal aortic aneurysm cost-effective in 65-year-old men based on contemporary data?
Screening 65-year-old men for abdominal aortic aneurysm remains cost-effective despite contemporary reductions in prevalence and changes in management.
Supports AAA screening cost-effectiveness in 65-year-old men; extends prior models with contemporary prevalence and management data.
BACKGROUND: Health economic analyses based on randomized trials have shown that screening for abdominal aortic aneurysm (AAA) cost-effectively decreases AAA-related, as well as all- cause mortality. However, follow-up from implemented screening programmes now reveal substantially changed conditions in terms of prevalence, attendance rate, costs and mortality after intervention. Our aim was to evaluate whether screening for AAA among 65-year-old men is cost-effective based on contemporary data on prevalence and attendance rates from an ongoing AAA screening programme. METHODS: A decision-analytic model, previously used to analyse the cost-effectiveness of an AAA screening programme prior to implementation in clinical practice, was updated using data collected from an implemented screening programme as well as data from contemporary published data and the Swedish register for vascular surgery (Swedvasc). RESULTS: The base-case analysis showed that the cost per life-year gained and quality-adjusted life year (QALY) gained were €4832 and €6325, respectively. Based on conventional threshold values of cost-effectiveness, the probability of screening being cost-effective was high. CONCLUSION: Despite the reduction of AAA-prevalence and changes in AAA-management over time, screening 65-year-old men for AAA still appears to yield health outcomes at a cost below conventional thresholds of cost-effectiveness.
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Hager et al. (2017) studied Abdominal aortic aneurysm (AAA). Screening for abdominal aortic aneurysm vs. No screening was evaluated on Cost per life-year gained and quality-adjusted life year (QALY) gained. Screening 65-year-old men for abdominal aortic aneurysm was cost-effective, yielding a cost of €4832 per life-year gained and €6325 per quality-adjusted life year gained.
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