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Cost-Effectiveness of Screening for Asymptomatic Carotid Atherosclerotic Disease
Stroke 27:1944-1950, Derdeyn,C.P.&Powers,W.J., 1996
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Article Abstract
A one-time screening program of a population with a high prevalence(20%) of>60%stenosis cost$45130 per incremental QALY gained.Decreased surgical benefit or increased annual discount rate was detrimental,resulting in lost QALYs.Annual screening cost$457773 per incremental QALY gained.In a low-prevalence(4%)population,one-time screening cost$52588 per QALY gained,while annual screening was detrimental.The cost-effectiveness of a one-time screening program for an asymptomatic population with a high prevalence of carotid stenosis may be cost-effective.Annual screening is detrimental.The most sensitive variables in this simulation model were long-term stroke risk reduction after surgery and annual discount rate for accumulated cost and QALYs.
 
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carotid artery atherosclerosis
carotid artery disease
carotid artery disease,asymptomatic
carotid artery disease,noninvasive evaluation of
carotid artery stenosis
cerebrovascular disease,noninvasive evaluation of
cost effectiveness
endarterectomy,carotid
neuralgia,treatment of
ultrasonography
ultrasonography,carotid artery

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