Cost-Effectiveness of Using the Coronary Artery Calcium Score in Guiding Therapeutic Decisions in Primary Prevention in the Brazilian Population

Raul Serra Valério, Giuliano Generoso, Juliano Lara Fernandes, Khurram Nasir, Jonathan C. Hong, Marcio Sommer Bittencourt

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1126-1131
Number of pages6
JournalArquivos Brasileiros de Cardiologia
Volume118
Issue number6
DOIs
StatePublished - 2022

Keywords

  • Cardiac Imaging Techniques
  • Coronary Artery Calcium
  • Cost-Benefit Analysis
  • Primary Prevention

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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