Evidence map›Paper›PMID 35703651›Full record

ArticleArquivos brasileiros de cardiologia2022

Cost-Effectiveness of Using the Coronary Artery Calcium Score in Guiding Therapeutic Decisions in Primary Prevention in the Brazilian Population.

Raul Serra Valério, Giuliano Generoso, Juliano Lara Fernandes, Khurram Nasir, Jonathan C Hong, Marcio Sommer Bittencourt

Abstract read
In one paragraph

Article in Arquivos brasileiros de cardiologia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. The "Coming of Age" of Coronary Calcium Score?Arquivos brasileiros de cardiologia · 2023
    Article
  4. Review
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Raul Serra ValérioDiagnósticos da América SA, São Paulo, SP - Brasil.ORCID 0000-0003-1530-3795
Giuliano GenerosoHospital Sírio-Libanês - Centro de Cardiologia, São Paulo, SP - Brasil.ORCID 0000-0002-1010-2428
Juliano Lara FernandesRadiologia Clínica de Campinas, Campinas, SP - Brasil.ORCID 0000-0002-6726-5324
Khurram NasirHouston Methodist Debakey Heart & Vascular Center - Center for Outcomes Research, Houston, Texas - EUA.
Jonathan C HongTexas Heart Institute - Division of Cardiovascular Surgery, Texas - EUA.
Marcio Sommer BittencourtUniversidade de São Paulo - Hospital Universitário de Sao Paulo, São Paulo, SP - Brasil.ORCID 0000-0002-3711-1754

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe use of the coronary artery calcium score to aid cardiovascular risk stratification may be a more cost-effective tool than the conventional strategy.

objectivesEvaluation of the cost-effectiveness of the use of the calcium score in therapeutic guidance for primary cardiovascular prevention.

methodsA microsimulation model to assess the clinical and economic consequences of atherosclerotic cardiovascular disease, comparing the prevention strategy using the calcium score and the conventional strategy.

resultsThe results obtained demonstrated a better cost-effectiveness of the therapeutic strategy guided by the calcium score, by reducing incremental costs and increasing quality-adjusted life years (QALY), which corresponds, in number, to improving the quality of life of the individual.

conclusionsThe use of the coronary artery calcium score proved to be more cost-effective than the conventional strategy, both in terms of cost and QALY, in most of the scenarios studied.

Indexed as

CalciumCoronary VesselsBrazilCost-Benefit AnalysisHumansPrimary PreventionQuality of LifeCalcium

Identifiers

PMID35703651
PMCPMC9345162

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.