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The Cost-Effectiveness of Hepatitis C Virus Screening Strategies among Recently Arrived Migrants in the Netherlands

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اقرأ على الانترنت اقرأ أكثر حفظ في قائمتي
  • معلومة اضافية
    • Contributors:
      Value, Affordability and Sustainability (VALUE); Real World Studies in PharmacoEpidemiology, -Genetics, -Economics and -Therapy (PEGET); Microbes in Health and Disease (MHD); PharmacoTherapy, -Epidemiology and -Economics
    • الموضوع:
      2020
    • نبذة مختصرة :
      Objective: We aimed to assess the cost-effectiveness of hepatitis C virus (HCV) screening strategies among recently arrived migrants in the Netherlands. Methods: A Markov model was used to estimate the health effects and costs of HCV screening from the healthcare perspective. A cohort of 50,000 recently arrived migrants was used. In this cohort, three HCV screening strategies were evaluated: (i) no screening, (ii) screening of migrants from HCV-endemic countries and (iii) screening of all migrants. Results: Strategy (ii) screening of migrants from HCV-endemic countries compared to strategy (i) no screening, yielded an incremental cost-effectiveness ratio (ICER) of &euro
      971 per quality-adjusted life-years (QALYs) gained. Strategy (iii) screening of all migrants compared with strategy (ii) screening of migrants from HCV-endemic countries yielded an ICER of &euro
      1005 per QALY gained. The budget impact of strategy (ii) screening of migrants from HCV-endemic countries and strategy (iii) screening of all migrants was &euro
      13,752,039 and &euro
      20,786,683, respectively. Conclusion: HCV screening is cost-effective. However, the budget impact may have a strong influence on decision making.
    • File Description:
      application/pdf
    • ISSN:
      1661-7827
    • Rights:
      OPEN
    • الرقم المعرف:
      edsair.doi.dedup.....aff5f2ca1b050b4947007b7bdf9f75fb