Cost-Effectiveness of Portable Electrocardiogram for Screening Cardiovascular Diseases at a Primary Health Center in Ahmedabad District, India

Background: District Health Authority in Ahmedabad, Gujarat has introduced Project Lifeline, 12-lead portable ECG devices across all primary health centers (PHC) in the district to screen cardiac abnormalities among high-risk and symptomatic adults for providing primary management and proper timely...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Komal Shah, Apurvakumar Pandya, Priya Kotwani, Somen Saha, Chintan Desai, Kirti Tyagi, Deepak Saxena, Tapasvi Puwar, Shilpa Gaidhane
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	health technology assessment (HTA) cost-effectiveness (CE) portable electrocardiogram devices primary health center-PHC India Asia—Pacific Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/26004e9c8dd34be5af2bdc60639bed59
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:26004e9c8dd34be5af2bdc60639bed59
record_format	dspace
spelling	oai:doaj.org-article:26004e9c8dd34be5af2bdc60639bed592021-12-03T05:55:46ZCost-Effectiveness of Portable Electrocardiogram for Screening Cardiovascular Diseases at a Primary Health Center in Ahmedabad District, India2296-256510.3389/fpubh.2021.753443https://doaj.org/article/26004e9c8dd34be5af2bdc60639bed592021-12-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpubh.2021.753443/fullhttps://doaj.org/toc/2296-2565Background: District Health Authority in Ahmedabad, Gujarat has introduced Project Lifeline, 12-lead portable ECG devices across all primary health centers (PHC) in the district to screen cardiac abnormalities among high-risk and symptomatic adults for providing primary management and proper timely referral. The prime purpose of the study was to assess the cost-effectiveness of portable ECG for the screening of cardiovascular diseases (CVD) among high-risk and symptomatic adults at the PHC in Ahmedabad, Gujarat.Methods: Cost-effective analysis was conducted using a societal perspective. An incremental costing approach was adapted, and cost-effectiveness analysis was done using a decision-analytic model. We surveyed 73 patients who screened positive for cardiac abnormality, documented the type of ECG abnormalities, and diagnosed CVD. The program cost was obtained from the implementers. Transition probabilities were derived from primary data supported by expert opinion for the intervention arm, while a systematic search of the literature was undertaken to derive transition probabilities for the control arm.Results: The ECG screening at PHC saves 2.90 life years at an incremental cost of 89.97 USD (6657.47 INR), yielding a cost-effectiveness ratio of 31.07 USD (2,299.06 INR) per life-year saved, which is below the willingness to pay threshold. The budget impact analysis was also performed. Results are sensitive to the relative risk reduction associated with the non-participation and the cost of initial screening.Conclusion: Cost-effectiveness analysis clearly shows that the facility to screen cardiac abnormality at the PHC level is highly recommended for high-risk adults and symptomatic cases.Komal ShahApurvakumar PandyaPriya KotwaniSomen SahaChintan DesaiKirti TyagiDeepak SaxenaTapasvi PuwarShilpa GaidhaneFrontiers Media S.A.articlehealth technology assessment (HTA)cost-effectiveness (CE)portable electrocardiogram devicesprimary health center-PHCIndiaAsia—PacificPublic aspects of medicineRA1-1270ENFrontiers in Public Health, Vol 9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	health technology assessment (HTA) cost-effectiveness (CE) portable electrocardiogram devices primary health center-PHC India Asia—Pacific Public aspects of medicine RA1-1270
spellingShingle	health technology assessment (HTA) cost-effectiveness (CE) portable electrocardiogram devices primary health center-PHC India Asia—Pacific Public aspects of medicine RA1-1270 Komal Shah Apurvakumar Pandya Priya Kotwani Somen Saha Chintan Desai Kirti Tyagi Deepak Saxena Tapasvi Puwar Shilpa Gaidhane Cost-Effectiveness of Portable Electrocardiogram for Screening Cardiovascular Diseases at a Primary Health Center in Ahmedabad District, India
description	Background: District Health Authority in Ahmedabad, Gujarat has introduced Project Lifeline, 12-lead portable ECG devices across all primary health centers (PHC) in the district to screen cardiac abnormalities among high-risk and symptomatic adults for providing primary management and proper timely referral. The prime purpose of the study was to assess the cost-effectiveness of portable ECG for the screening of cardiovascular diseases (CVD) among high-risk and symptomatic adults at the PHC in Ahmedabad, Gujarat.Methods: Cost-effective analysis was conducted using a societal perspective. An incremental costing approach was adapted, and cost-effectiveness analysis was done using a decision-analytic model. We surveyed 73 patients who screened positive for cardiac abnormality, documented the type of ECG abnormalities, and diagnosed CVD. The program cost was obtained from the implementers. Transition probabilities were derived from primary data supported by expert opinion for the intervention arm, while a systematic search of the literature was undertaken to derive transition probabilities for the control arm.Results: The ECG screening at PHC saves 2.90 life years at an incremental cost of 89.97 USD (6657.47 INR), yielding a cost-effectiveness ratio of 31.07 USD (2,299.06 INR) per life-year saved, which is below the willingness to pay threshold. The budget impact analysis was also performed. Results are sensitive to the relative risk reduction associated with the non-participation and the cost of initial screening.Conclusion: Cost-effectiveness analysis clearly shows that the facility to screen cardiac abnormality at the PHC level is highly recommended for high-risk adults and symptomatic cases.
format	article
author	Komal Shah Apurvakumar Pandya Priya Kotwani Somen Saha Chintan Desai Kirti Tyagi Deepak Saxena Tapasvi Puwar Shilpa Gaidhane
author_facet	Komal Shah Apurvakumar Pandya Priya Kotwani Somen Saha Chintan Desai Kirti Tyagi Deepak Saxena Tapasvi Puwar Shilpa Gaidhane
author_sort	Komal Shah
title	Cost-Effectiveness of Portable Electrocardiogram for Screening Cardiovascular Diseases at a Primary Health Center in Ahmedabad District, India
title_short	Cost-Effectiveness of Portable Electrocardiogram for Screening Cardiovascular Diseases at a Primary Health Center in Ahmedabad District, India
title_full	Cost-Effectiveness of Portable Electrocardiogram for Screening Cardiovascular Diseases at a Primary Health Center in Ahmedabad District, India
title_fullStr	Cost-Effectiveness of Portable Electrocardiogram for Screening Cardiovascular Diseases at a Primary Health Center in Ahmedabad District, India
title_full_unstemmed	Cost-Effectiveness of Portable Electrocardiogram for Screening Cardiovascular Diseases at a Primary Health Center in Ahmedabad District, India
title_sort	cost-effectiveness of portable electrocardiogram for screening cardiovascular diseases at a primary health center in ahmedabad district, india
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/26004e9c8dd34be5af2bdc60639bed59
work_keys_str_mv	AT komalshah costeffectivenessofportableelectrocardiogramforscreeningcardiovasculardiseasesataprimaryhealthcenterinahmedabaddistrictindia AT apurvakumarpandya costeffectivenessofportableelectrocardiogramforscreeningcardiovasculardiseasesataprimaryhealthcenterinahmedabaddistrictindia AT priyakotwani costeffectivenessofportableelectrocardiogramforscreeningcardiovasculardiseasesataprimaryhealthcenterinahmedabaddistrictindia AT somensaha costeffectivenessofportableelectrocardiogramforscreeningcardiovasculardiseasesataprimaryhealthcenterinahmedabaddistrictindia AT chintandesai costeffectivenessofportableelectrocardiogramforscreeningcardiovasculardiseasesataprimaryhealthcenterinahmedabaddistrictindia AT kirtityagi costeffectivenessofportableelectrocardiogramforscreeningcardiovasculardiseasesataprimaryhealthcenterinahmedabaddistrictindia AT deepaksaxena costeffectivenessofportableelectrocardiogramforscreeningcardiovasculardiseasesataprimaryhealthcenterinahmedabaddistrictindia AT tapasvipuwar costeffectivenessofportableelectrocardiogramforscreeningcardiovasculardiseasesataprimaryhealthcenterinahmedabaddistrictindia AT shilpagaidhane costeffectivenessofportableelectrocardiogramforscreeningcardiovasculardiseasesataprimaryhealthcenterinahmedabaddistrictindia
_version_	1718373860264378368

Cost-Effectiveness of Portable Electrocardiogram for Screening Cardiovascular Diseases at a Primary Health Center in Ahmedabad District, India

Ejemplares similares