دورية أكاديمية
أعرض في EDS

Cost-Effectiveness and Distributional Impact of Opportunistic Screening for People at High-Risk of Cardiovascular Disease in Sri Lanka: A Modelling Study

التفاصيل البيبلوغرافية
العنوان: Cost-Effectiveness and Distributional Impact of Opportunistic Screening for People at High-Risk of Cardiovascular Disease in Sri Lanka: A Modelling Study
المؤلفون: Nilmini Wijemunige, Ravindra P Rannan-Eliya, Jürgen Maurer, Owen O’Donnell
المصدر: Global Heart, Vol 17, Iss 1 (2022)
بيانات النشر: Ubiquity Press, 2022.
سنة النشر: 2022
المجموعة: LCC:Diseases of the circulatory (Cardiovascular) system
LCC:Public aspects of medicine
مصطلحات موضوعية: cardiovascular diseases, hypertension, diabetes, screening, equity, sri lanka, Diseases of the circulatory (Cardiovascular) system, RC666-701, Public aspects of medicine, RA1-1270
الوصف: Background: While hypertension, diabetes, hypercholesterolemia and high-risk of cardiovascular disease can be easily diagnosed and treated with cost-effective medicines, a large proportion of people remain undiagnosed. We assessed the potential effectiveness, cost, and distributional impact of opportunistically screening for these chronic conditions at outpatient patient departments in Sri Lanka. Methods: We used nationally representative data on biomarkers and healthcare utilization in 2019 to model the screening of people aged 40+ without preexisting CVD and without a reported diagnosis of hypertension, diabetes, or hypercholesterolemia. We modelled an intensive one month program that would screen a proportion of those making an outpatient visit to a public or private clinic and follow-up a proportion of those screened to confirm diagnoses. We also modelled a less intensive one year program. The main outcomes were the new diagnoses of any of the chronic conditions. Program costs were calculated and the socioeconomic distributions of individuals screened, new cases diagnosed, and treatments delivered were estimated. Sensitivity analyses varied the probability of screening and follow-up. Results: Using data on 2,380 survey participants who met the inclusion criteria, we estimated that the one month program would diagnose 8.2% (95% CI: 6.8, 9.6) of those with a chronic condition who would remain undiagnosed without the program. The one year program would diagnose 26.9% (95% CI: 26.5, 27.4) of the otherwise undiagnosed and would have a cost per person newly diagnosed of USD 6.82 (95% CI: 6.61, 7.03) in the public sector and USD 16.92 (95% CI: 16.37, 17.47) in the private sector. New diagnoses would be evenly distributed over the socioeconomic distribution, with public (private) clinics diagnosing a higher proportion of poorer (richer) individuals. Both programs would reduce underdiagnosis among males relative to females. Conclusions: Opportunistic screening for cardiovascular diseases at outpatient clinics in Sri Lanka could be cost-effective and equitable.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2211-8179
Relation: https://globalheartjournal.com/articles/1174; https://doaj.org/toc/2211-8179
DOI: 10.5334/gh.1174
URL الوصول: https://doaj.org/article/cec902b4526e4c5fb7d7b4d841e7f6fd
رقم الأكسشن: edsdoj.902b4526e4c5fb7d7b4d841e7f6fd
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:22118179
DOI:10.5334/gh.1174