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Cost-Effectiveness Analysis of Hypertension Screening in the Korea National Health Screening Program

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dc.date.accessioned2021-11-19T01:36:29Z-
dc.date.available2021-11-19T01:36:29Z-
dc.date.issued2021-07-
dc.identifier.issn1738-5520-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/185939-
dc.description.abstractBackground and objectives: To evaluate the cost-effectiveness of routine hypertension (HTN) screening as a part of the national health-screening program. Methods: Two aspects of cost-effectiveness were examined using the national general health-screening program. First, the cost of case-finding was computed for 5-year interval age groups. Second, the cost per quality adjusted life years (QALYs) gained were estimated for 12 different scenarios varying examination starting age, pattern and interval compared with no screening. Results: The cost of finding one new HTN case was low as 26,284 Korean won (KRW) (approximately [approx.] United States Dollar 21) for 70-79 years old to as high as 70,552 KRW for 40-44 years old. Compared with no screening, the costs per QALYs of the following screening strategies were below the incremental cost-effectiveness ratio threshold (approx. KRW 30.5 million): first screening examination with the second confirmatory examination in adults aged ≥40 years every 3 years (KRW 10.2 million), every 2 years (KRW 13.2 million), or annually (KRW 19.9 million). One-way sensitivity analyses suggest that the results were mostly influenced by the sensitivity of the first screening examination, followed by the examination rate of the second confirmatory examination. Conclusions: HTN screening as a part of routine national health screening program was cost-effective for adults aged 40 years or older. The most cost-effective HTN screening strategy was the first screening examination with the second confirmatory examination in aged 40 years or older every 3 years.-
dc.description.statementOfResponsibilityopen-
dc.languageEnglish, Korean-
dc.publisherKorean Society of Circulation-
dc.relation.isPartOfKOREAN CIRCULATION JOURNAL-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titleCost-Effectiveness Analysis of Hypertension Screening in the Korea National Health Screening Program-
dc.typeArticle-
dc.contributor.collegeGraduate School of Public Health (보건대학원)-
dc.contributor.departmentGraduate School of Public Health (보건대학원)-
dc.contributor.googleauthorHae Young Lee 1, Seung Won Lee 2 3, Hyeon Chang Kim 2 3, Sang Hyun Ihm 4, Sung Ha Park 5, Tae Hyun Kim 6-
dc.identifier.doi10.4070/kcj.2021.0051-
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dc.relation.journalcodeJ01952-
dc.identifier.eissn1738-5555-
dc.identifier.pmid34085434-
dc.subject.keywordCost analysis-
dc.subject.keywordHypertension-
dc.subject.keywordScreening-
dc.contributor.alternativeNameKim, Tae Hyun-
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dc.citation.volume51-
dc.citation.number7-
dc.citation.startPage610-
dc.citation.endPage622-
dc.identifier.bibliographicCitationKOREAN CIRCULATION JOURNAL, Vol.51(7) : 610-622, 2021-07-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Preventive Medicine (예방의학교실) > 1. Journal Papers
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers

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