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Cost-effectiveness of a Stepwise Cardiometabolic Disease Prevention Program: Results of a Randomized Controlled Trial in Primary Care by Daphne M. Stol; Eelco A. B. Over; Ilse F. Badenbroek; Monika Hollander; Mark M. J. Nielen; Roderik A. Kraaijenhagen; François G. Schellevis; Niek J. de Wit; G. Ardine de Wit is a Medicine article available to read on EtoBox.
What is Cost-effectiveness of a Stepwise Cardiometabolic Disease Prevention Program: Results of a Randomized Controlled Trial in Primary Care about?
## Abstract ## Background Cardiometabolic diseases (CMD) are the major cause of death worldwide and are associated with a lower quality of life and high healthcare costs. To prevent a further rise in CMD and related healthcare costs, early detection and adequate management of individuals at risk could be an effective preventive strategy. The objective of this study was to determine long-term cost-effectiveness of stepwise CMD risk assessment followed by individualized treatment if indicated compared to care as usual. A computer-based simulation model was used to project long-term health benefits and cost-effectiveness, assuming the prevention program was implemented in Dutch primary care. ## Methods A randomized controlled trial in a primary care setting in which 1934 participants aged 45–70 years without recorded CMD or CMD risk factors participated. The intervention group was invited for stepwise CMD risk assessment through a risk score (step 1), additional risk assessment at the practice in case of increased risk (step 2) and individualized follow-up treatment if indicated (step 3). The control group was not invited for risk assessment, but completed a health questionnaire. Resu
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- Author
- Daphne M. Stol; Eelco A. B. Over; Ilse F. Badenbroek; Monika Hollander; Mark M. J. Nielen; Roderik A. Kraaijenhagen; François G. Schellevis; Niek J. de Wit; G. Ardine de Wit
- Publisher
- Springer Science and Business Media LLC
- Published
- 2021
- Language
- EN
- Field
- Medicine (Health Sciences)