Article Figures & Data
Figures
- Fig 1.
One-way sensitivity analysis: effect of parameter variation on the incremental cost per QALY for patient selection using penumbra-based CTP compared with CT. Dark-shaded bars represent the upper bound. Striped bars represent the lower bound. Baseline incremental cost / QALY = −$184,082.
- Fig 2.
Results of probabilistic sensitivity analysis: incremental cost-effectiveness scatterplot of patient selection using CTP versus CT for 90 days following primary stroke. Dotted line represents an incremental cost / QALY = $50,000. Points to right of the dotted the line are considered cost-effective. Gray dots represent simulations. The black dot represents the base-case result.
Tables
- Table 1:
Costs and outcomes associated with selecting patients for IV tPA treatment with CTP versus CT scanning base-case results
Outcome (per patient) Usual Care CTP % of patients with ischemic stroke treated 28.30% 20.94% % of all patients with stroke treated 24.62% 18.22% % of all patients with stroke who receive CTP 0.00% 49.42% Favorable outcome (mRS, 0.1) 39.44% 40.03% mRS outcomes for patients with ischemic stroke % with 90-day mRS 0 18.41% 18.23% % with 90-day mRS 1 21.03% 21.80% % with 90-day mRS 2 12.56% 11.96% % with 90-day mRS 3 13.14% 13.27% % with 90-day mRS 4 15.75% 16.13% % with 90-day mRS 5 7.13% 6.78% % dead at 90 days 11.98% 11.83% Life-years 0.2115 0.2119 QALYs 0.1241 0.1246 Hospitalization costs (including SICH) (in US $) $11,400 $11,358 Novel diagnostic costs (in US $) $0 $236 Drug costs (in US $) $1,070 $792 Total costs (in US $) $12,470 $12,386 Incremental cost per life-year gained (in US $) – Cost-saving Incremental cost per QALY gained (in US $) – Cost-saving Incremental cost per major disability avoided (mRS, ≥3) (in US $) Cost-saving
In this issue
Jump to section
Related Articles
Cited By...
- Optimal Computed Tomographic Perfusion Scan Duration for Assessment of Acute Stroke Lesion Volumes
- Different Imaging Strategies in Patients With Possible Basilar Artery Occlusion: Cost-Effectiveness Analysis
- Drivers of Costs Associated With Reperfusion Therapy in Acute Stroke: The Interventional Management of Stroke III Trial
- Systematic Review, Critical Appraisal, and Analysis of the Quality of Economic Evaluations in Stroke Imaging
- Pre-intervention cerebral blood volume predicts outcomes in patients undergoing endovascular therapy for acute ischemic stroke
- Acute Stroke Imaging: CT with CT Angiography and CT Perfusion before Management Decisions