Is a novel diagnostic pathway for cardiology outpatient clinics in Singapore lower cost than existing practice: a cost modelling study.

ABSTRACT:

Objective

To evaluate the potential for change to costs from a decision to adopt a novel diagnostic pathway for referrals to cardiology outpatients with symptoms of chest pain.

Design

Costs modelling study using existing observational data, with a cost year of 2018.

Setting

Specialist Heart Centre in Singapore.

Participants

All new referrals (n=10 622) to the outpatient clinics for investigation between January 2017 and December 2017.

Interventions

Two competing testing regimes are compared in a decision tree model. Current practice includes classification of patients by their risk and the use of treadmill tests, calcium scores, functional testing and CT angiogram. New practice offers a fundamental difference in use of diagnostics for patients, with some

SUBMITTER: Weiting H 

PROVIDER: S-EPMC8808421 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature