Screening for AF with wearable devices is cost-effective, when compared with either no screening or screening using traditional methods, a new study concludes.
. Screening for AF using wrist-worn wearable devices may prevent strokes, but their cost effectiveness is unknown," write Wanyi Chen, PhD, from Massachusetts General Hospital, Boston, and colleagues, inThe investigators used a microsimulation decision-analytic model to evaluate the cost-effectiveness of these devices to screen for undiagnosed AF.
The primary outcome was the incremental cost-effectiveness ratio, defined as US dollars per quality-adjusted life-year . Secondary outcomes included rates of stroke and major bleeding.All 6 screening strategies using wrist-worn wearable devices were estimated to be more cost effective than no screening. The model showed that the range of QALYs gained compared with no screening was 226 to 957 per 100,000 individuals.
Overall, the preferred strategy for screening was wearable photoplethysmography, followed by wearable electrocardiography with patch monitor confirmation. This strategy had an incremental cost-effectiveness ratio of $57,894 per QALY,"meeting the acceptability threshold of $100,000 per QALY," the authors write.
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