TY - JOUR
T1 - Cost-Effectiveness of Using the Coronary Artery Calcium Score in Guiding Therapeutic Decisions in Primary Prevention in the Brazilian Population
AU - Valério, Raul Serra
AU - Generoso, Giuliano
AU - Fernandes, Juliano Lara
AU - Nasir, Khurram
AU - Hong, Jonathan C.
AU - Bittencourt, Marcio Sommer
N1 - Publisher Copyright:
© 2022, Arquivos Brasileiros de Cardiologia. All rights reserved.
PY - 2022
Y1 - 2022
N2 - Background: The use of the coronary artery calcium score to aid cardiovascular risk stratification may be a more cost-effective tool than the conventional strategy. Objectives: Evaluation of the cost-effectiveness of the use of the calcium score in therapeutic guidance for primary cardiovascular prevention. Methods: A microsimulation model to assess the clinical and economic consequences of atherosclerotic cardiovascular disease, comparing the prevention strategy using the calcium score and the conventional strategy. Results: The results obtained demonstrated a better cost-effectiveness of the therapeutic strategy guided by the calcium score, by reducing incremental costs and increasing quality-adjusted life years (QALY), which corresponds, in number, to improving the quality of life of the individual. Conclusions: The use of the coronary artery calcium score proved to be more cost-effective than the conventional strategy, both in terms of cost and QALY, in most of the scenarios studied.
AB - Background: The use of the coronary artery calcium score to aid cardiovascular risk stratification may be a more cost-effective tool than the conventional strategy. Objectives: Evaluation of the cost-effectiveness of the use of the calcium score in therapeutic guidance for primary cardiovascular prevention. Methods: A microsimulation model to assess the clinical and economic consequences of atherosclerotic cardiovascular disease, comparing the prevention strategy using the calcium score and the conventional strategy. Results: The results obtained demonstrated a better cost-effectiveness of the therapeutic strategy guided by the calcium score, by reducing incremental costs and increasing quality-adjusted life years (QALY), which corresponds, in number, to improving the quality of life of the individual. Conclusions: The use of the coronary artery calcium score proved to be more cost-effective than the conventional strategy, both in terms of cost and QALY, in most of the scenarios studied.
KW - Cardiac Imaging Techniques
KW - Coronary Artery Calcium
KW - Cost-Benefit Analysis
KW - Primary Prevention
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U2 - 10.36660/abc.20210347
DO - 10.36660/abc.20210347
M3 - Article
C2 - 35703651
AN - SCOPUS:85132393394
SN - 0066-782X
VL - 118
SP - 1126
EP - 1131
JO - Arquivos Brasileiros de Cardiologia
JF - Arquivos Brasileiros de Cardiologia
IS - 6
ER -