Table 5

Scenario analyses assessing the impact of varying costs and false-positive rates in the standard care alternative on the cost-effectiveness estimates

VariableIncremental cost per patient screened, $*Incremental cost per additional case of MINS detected, $*
Reference case112.181632.51
25% cost increase in monitoring and 25% cost reduction in standard care alternative (worst case)146.812137.70
25% cost reduction in monitoring and 25% cost increase in standard care alternative (best case)77.881134.28
50% of patients with elevated troponin T levels undergo echocardiography102.741495.28
75% of patients with elevated troponin T levels undergo echocardiography107.381564.85
0% false-positive in standard care112.581639.39
0.59% false-positive with monitoring113.581650.16
  • MINS = myocardial injury after noncardiac surgery.

  • * 2015 Canadian dollars.