RE: Can anybody translate17 Mar 2025 18:05
It discusses the cost-effectiveness of Cardio inCode®, a medical test, in assessing cardiovascular risk. It uses incremental cost-effectiveness ratio (ICER), which measures how much it costs to gain one additional quality-adjusted life year (QALY) compared to the standard method.
If Cardio inCode® costs €400, the additional cost per QALY gained compared to standard methods is:
• €12,969 in the REGICOR cohort (a cardiovascular risk prediction model).
Threshold Price for ICER Acceptance
• Spain generally considers an intervention cost-effective if ICER is below €30,000/QALY.
• For Cardio inCode® to stay within this limit, its price should be between €668 and €836.
• €21,385 in the Framingham cohort (another risk model).
• These ICER values indicate how cost-effective the test is at this price.
The test was most beneficial for patients with moderate to high cardiovascular risk.
• It reclassified risk in:
• 22.8% of patients in REGICOR.
• 12% of patients in Framingham.
• The ICER in this high-risk subgroup was:
• €1,652/QALY (REGICOR) → Very cost-effective.
• €5,884/QALY (Framingham) → Still cost-effective.
At €400, Cardio inCode® is cost-effective but close to the limit.
• For moderate–high-risk patients, it is highly cost-effective.
• If priced between €668–€836, it remains within Spain’s acceptable cost-effectiveness threshold