Is early noninvasive cardiac testing cost-effective? 5 study notes

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Adopting early noninvasive cardiac testing is a cost-effective strategy for avoiding a future heart attack or death in patients with suspected acute coronary syndrome, according to a study published May 24 in Academic Emergency Medicine

Researchers conducted a retrospective analysis of 89,387 Kaiser Permanente Southern California patients to examine care costs and quality-adjusted life-years associated with early noninvasive cardiac testing.

Here are five notes from the study:

  1. Of the 89,387 patients included in the study, 19% received early noninvasive cardiac testing.

  2. Total care costs were higher by $2,357 for patients who received early noninvasive cardiac testing compared to patients who did not. The higher costs were mainly attributed to the patient’s initial emergency department visit.

  3. In a one-year follow-up, patients who received early noninvasive cardiac testing had a 3.7% lower composite risk of nonfatal heart attack or death.

  4. Researchers determined that early noninvasive cardiac testing was cost-effective at $5,268 per quality-adjusted life-years.

  5. “Due to the significant clinical benefits, early noninvasive cardiac testing [is] cost-effective in the low- and intermediate-risk patients [and] a dominant strategy in high-risk patients saving cost and quality-adjusted-life-years,” the study authors wrote. 

Read the full study here

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