Dataset Information

Yearly hypertension screening in women with a history of pre-eclampsia: a cost-effectiveness analysis.

ABSTRACT:

Background

Women with a history of preeclampsia are at increased risk for future hypertension and cardiovascular disease (CVD); until now it is not clear whether preventive measures are needed.

Methods

A decision-analytic Markov model was constructed to evaluate healthcare costs and effects of screening and treatment (100 % compliance) for hypertension post preeclampsia based on the available literature. Cardiovascular events and CVD mortality were defined as health states. Outcomes were measured in absolute costs, events, life-years and quality-adjusted life-years (QALYs). Sensitivity and threshold analyses were performed to address uncertainty.

Results

Over a 20-year time horizon, events occurred in 7.2 % of the population after screening, and in 8.5 % of the population without screening. QALYs increased from 16.37 (no screening strategy) to 16.40 (screening strategy), an increment of 0.03 (95 % CI 0.01;0.05) QALYs. Total expected costs were € 8016 in the screening strategy, and € 9087 in the none screening strategy (expected saving of € 1071 (95 % CI - 3146;-87) per person).

Conclusion

Annual hypertension screening and treatment in women with a history of preeclampsia may save costs, for at least a similar quality of life and survival due to prevented CVD compared with standard care.

SUBMITTER: Drost JT

PROVIDER: S-EPMC4651960 | biostudies-literature | 2015 Dec

REPOSITORIES: biostudies-literature

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Publications

Yearly hypertension screening in women with a history of pre-eclampsia: a cost-effectiveness analysis.

Drost J T JT Grutters J P C JP van der Wilt G-J GJ van der Schouw Y T YT Maas A H E M AH

Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation 20151201 12

<h4>Background</h4>Women with a history of preeclampsia are at increased risk for future hypertension and cardiovascular disease (CVD); until now it is not clear whether preventive measures are needed.<h4>Methods</h4>A decision-analytic Markov model was constructed to evaluate healthcare costs and effects of screening and treatment (100 % compliance) for hypertension post preeclampsia based on the available literature. Cardiovascular events and CVD mortality were defined as health states. Outcom ...[more]

PMID: 26449244

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Dataset Information

Yearly hypertension screening in women with a history of pre-eclampsia: a cost-effectiveness analysis.

Background

Methods

Results

Conclusion

Publications

Yearly hypertension screening in women with a history of pre-eclampsia: a cost-effectiveness analysis.

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