Cost-utility analysis of the National Health Screening Program for chronic kidney disease in Korea
- Authors
- Go, Dun-Sol; Kim, Seon-Ha; Park, Jongha; Ryu, Dong-Ryeol; Lee, Hyeon-Jeong; Jo, Min-Woo
- Issue Date
- Jan-2019
- Publisher
- WILEY
- Keywords
- chronic kidney disease; cost-effectiveness; cost-utility analysis; screening
- Citation
- NEPHROLOGY, v.24, no.1, pp 56 - 64
- Pages
- 9
- Indexed
- SCIE
SCOPUS
- Journal Title
- NEPHROLOGY
- Volume
- 24
- Number
- 1
- Start Page
- 56
- End Page
- 64
- URI
- https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/28804
- DOI
- 10.1111/nep.13203
- ISSN
- 1320-5358
1440-1797
- Abstract
- Aim Although a National Health Screening Program (NHSP) for chronic kidney disease (CKD) has been implemented in Korea since 2002, its cost-effectiveness has never been determined. This study aimed to estimate the cost-utility of NHSP for CKD in Korea. Methods A Markov decision analytic model was constructed to compare CKD screening strategies of the NHSP with no screening. We developed a model that simulated disease progression in a cohort aged 20-120 years or death from the societal perspective. Results Biannual screening starting at age 40 for CKD by proteinuria (dipstick) and estimated glomerular filtration ratio had an ICUR of $66 874/QALY relative to no screening. The targeted screening strategy had an ICUR of $37 812/QALY and $40 787/QALY for persons with diabetes and hypertension, respectively. ICURs improved with lower cost strategies. The most influential parameter that might make screening more cost-effective was the effectiveness of treatment on CKD to decrease disease progression and mortality. Conclusions The Korean NHSP for CKD is more cost-effective for patients with diabetes or hypertension than the general population, consistent with prior studies. Although it is too early to conclude the cost-effectiveness of the Korean NHSP for CKD, this study provides evidence that is useful in evaluating the cost-effectiveness of CKD interventions.
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Collections - 4. Research institute > Institute for Environmental Health > 1. Journal Articles
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