DNA testing for hypertrophic cardiomyopathy: a cost-effectiveness model.

Abstract:

:Aims To explore the cost-effectiveness of alternative methods of screening family members for hypertrophic cardiomyopathy (HCM), the most common monogenic cardiac disorder and the most frequent cause of sudden cardiac death (SCD) in young people. Methods and results Economic decision model comparing cascade screening by genetic, as opposed to clinical methods. The incremental cost per life year saved was 14,397 euro for the cascade genetic compared with the cascade clinical approach. Genetic diagnostic strategies are more likely to be cost-effective than clinical tests alone. The costs for cascade molecular genetic testing were slightly higher than clinical testing in the short run, but this was largely because the genetic approach is more effective and identifies more individuals at risk. Conclusion The use of molecular genetic information in the diagnosis and management of HCM is a cost-effective approach to the primary prevention of SCD in these patients.

journal_name

Eur Heart J

journal_title

European heart journal

authors

Wordsworth S,Leal J,Blair E,Legood R,Thomson K,Seller A,Taylor J,Watkins H

doi

10.1093/eurheartj/ehq067

subject

Has Abstract

pub_date

2010-04-01 00:00:00

pages

926-35

issue

8

eissn

0195-668X

issn

1522-9645

pii

ehq067

journal_volume

31

pub_type

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