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Sökning: WFRF:(Al Khalili Faris) > Designing an optima...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004082naa a2200481 4500
001oai:DiVA.org:liu-141557
003SwePub
008170929s2017 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:136823921
024a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-1415572 URI
024a https://doi.org/10.1093/europace/eux0022 DOI
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:1368239212 URI
040 a (SwePub)liud (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Aronsson, Mattias,d 1989-u Linköpings universitet,Avdelningen för hälso- och sjukvårdsanalys,Medicinska fakulteten4 aut0 (Swepub:liu)matar90
2451 0a Designing an optimal screening program for unknown atrial fibrillation :b a cost-effectiveness analysis.
264 c 2017-03-01
264 1a Oxford :b Oxford University Press,c 2017
338 a print2 rdacarrier
500 a Funding agencies: Dental and Pharmaceutical Benefits Agency
520 a Aims: The primary objective of this study was to use computer simulations to suggest an optimal age for initiation of screening for unknown atrial fibrillation and to evaluate if repeated screening will add value.Methods and results: In the absence of relevant clinical studies, this analysis was based on a simulation model. More than two billion different designs of screening programs for unknown atrial fibrillation were simulated and analysed. Data from the published scientific literature and registries were used to construct the model and estimate lifelong effects and costs. Costs and effects generated by 2 147 483 648 different screening designs were calculated and compared. Program designs that implied worse clinical outcome and were less cost-effective compared to other programs were excluded from the analysis. Seven program designs were identified, and considered to be cost effective depending on what the health-care decision makers are ready to pay for gaining a quality-adjusted life-year (QALY). Screening at the age of 75 implied the lowest cost per gained QALY (€4 800/QALY).Conclusion: In conclusion, examining the results of more than two billion simulated screening program designs for unknown atrial fibrillation, seven designs were deemed cost-effective depending on how much we are prepared to pay for gaining QALYs. Our results showed that repeated screening for atrial fibrillation implied additional health benefits to a reasonable cost compared to one-off screening.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi0 (SwePub)303012 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Health Care Service and Management, Health Policy and Services and Health Economy0 (SwePub)303012 hsv//eng
653 a Atrial fibrillation
653 a Cost-utility analysis
653 a Optimization analysis
653 a Screening
700a Svennberg, Emmau Karolinska Institutet4 aut
700a Rosenqvist, Mårtenu Karolinska Institutet4 aut
700a Engdahl, Johanu Karolinska Institutet4 aut
700a Al-Khalili, Farisu Karolinska Institutet4 aut
700a Friberg, Leifu Karolinska Institutet4 aut
700a Frykman, Vivekau Karolinska Institutet4 aut
700a Levin, Lars-Åke,d 1960-u Linköpings universitet,Avdelningen för hälso- och sjukvårdsanalys,Medicinska fakulteten4 aut0 (Swepub:liu)larle77
710a Linköpings universitetb Avdelningen för hälso- och sjukvårdsanalys4 org
773t Europaced Oxford : Oxford University Pressg 19:10, s. 1650-1656q 19:10<1650-1656x 1099-5129x 1532-2092
856u https://academic.oup.com/europace/article-pdf/19/10/1650/20917301/eux002.pdf
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-141557
8564 8u https://doi.org/10.1093/europace/eux002
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:136823921

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