Early health technology assessment of diagnostic cardiology technology for reperfusion VF prediction of STEMI patients indicated for PCI
摘要
The study deals with eHTA of new technology for STEMI patients indicated for PCI treatment, which contains diagnostic of rVF risks and medication to prevent rVF in at-risk patients above standard approved procedure. Due to the recommended medication procedure for STEMI patients with identified high rVF risks during PCI and its effectiveness have not been established the goal is to find out what level of medication effectiveness which will be sufficient for the cost-effectiveness of the new technology.
MethodsScenarios where the effectiveness of rVF protecting medication administered to predisposed STEMI patients undergoing PCI varies from 5 to 95% were analyzed. Cost-effectiveness was evaluated by the CEA.
ResultsThe determined minimum effectiveness of rVF protecting medication to achieve the technology and procedure cost-effectiveness is 7.54%. Even if medication efficacy is at least 39.58%, the technology is “dominant” and the ICER is in the South-east [SE] quadrant.
ConclusionsCost-effectiveness analysis show that for all scenarios modeled, except the 5% medication effectiveness scenario, the technology appears to be cost-effective. so such new technology will probably be very attractive for investors.