Cost-utility analysis of genetic screening in families of patients with germline MUTYH mutations
2007

Cost-Utility Analysis of Genetic Screening for MUTYH Mutations

Sample size: 40 publication Evidence: moderate

Author Information

Author(s): Maartje Nielsen, Frederik J. Hes, Hans F.A. Vasen, Wilbert B. van den Hout

Primary Institution: Leiden University Medical Center

Hypothesis

What are the economic implications of genetic screening in families of patients with MUTYH mutations?

Conclusion

Genetic screening in families of MAP patients is cost-effective and should be offered to counselees.

Supporting Evidence

  • The cost per quality-adjusted life year (QALY) for genetic screening was estimated at €25,000.
  • The cost-utility ratio increased slightly to €25,500 per QALY with the presence of population screening.
  • For a heterozygote index patient, the cost per QALY was €51,500.

Takeaway

This study looks at how much it costs to test families for a gene that can cause cancer, and it finds that the costs are reasonable.

Methodology

A Markov model was constructed to perform a societal cost-utility analysis using data from Dutch MAP patients.

Potential Biases

Potential biases may arise from the reliance on existing literature and assumptions made in the model.

Limitations

The model's accuracy is limited by the availability of reliable data and does not account for all potential health risks associated with MUTYH mutations.

Participant Demographics

Participants were Dutch MAP patients, with a focus on families affected by MUTYH mutations.

Digital Object Identifier (DOI)

10.1186/1471-2350-8-42

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