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. 2010 Nov-Dec;93(6):285-91.
doi: 10.5334/jbr-btr.341.

Cost effectiveness of multi detector CT angiography of the coronary arteries for the diagnosis of suspected non-ST elevation acute coronary syndrome (NSTE-ACS) in the emergency department. Mathematical analysis with a decision model

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Cost effectiveness of multi detector CT angiography of the coronary arteries for the diagnosis of suspected non-ST elevation acute coronary syndrome (NSTE-ACS) in the emergency department. Mathematical analysis with a decision model

T De Beule et al. JBR-BTR. 2010 Nov-Dec.

Abstract

The purpose of our study is to model cost-effectiveness of MDCTA for the diagnosis of NSTE-ACS with initially negative enzymes, in the emergency department. In Belgium, the use of multi-detector computed tomography (MDCTA) is probably cost-effective in the diagnosis of NSTE-ACS in the acute setting A decision tree model was developed and a mathematical study was performed that included two hypothetical strategies: MDCTA and admission with classic clinical follow-up and treatment. Cost-effectiveness for the Belgian situation was simulated with sensitivity analysis using known values for diagnostic performance and known costs for the different strategies or components of strategies.

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