PMID: 26316921Jan 1, 2014Paper

Frequency of Testing for Dyslipidemia: A Systematic Review and Budget Impact Analysis

Ontario Health Technology Assessment Series
THETA

Abstract

Current Canadian guidelines recommend annual screening for hyperlipidemia in people with a Framingham risk score (FRS) of greater than 5%. In those with a FRS of less than 5%, lipid screening is recommended every 3 to 5 years. We aimed to determine the most cost-effective frequency of lipid profile testing in adults with different levels of cardiovascular risk based on published literature, to determine current frequency of lipid screening in Ontario, and to calculate the cost of aligning current with recommended frequencies. We systematically searched for studies (from 2000 to 2012) evaluating the cost-effectiveness of lipid profile testing frequency in adults. Using the Canadian Community Health Survey and linked health administrative databases, we calculated the FRS for each survey respondent on every day from 2005 to 2011. Average current frequency of lipid testing was calculated according to the total number of patient days spent in each FRS category and the number of lipid tests occurring on those days. Extrapolating these outcomes to the Ontario population, we estimated the expected budget impact of aligning current rates of lipid testing with rates recommended by the Canadian Cardiovascular Society (CCS) guidelines. No ...Continue Reading

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