Arrhythmias & electrophysiology
Cost-effectiveness and diagnostic accuracy of focused cardiac ultrasound in the pre-participation screening of athletes: the SPORT-FoCUS study
Authors' conclusion
The implementation of FoCUS into the PPS allows to identify a significantly greater number of athletes at risk of SCD and markedly lowers the false negative rate. Furthermore, the incorporation of FoCUS into the screening process has shown to be cost-effective.
Study context
- Population
- Athletes undergoing pre-participation screening30 with sudden cardiac death (SCD)-associated condition
- Participants
- 2,111 athletes
- Comparison
- Model A vs Model B vs Model C
- Outcome
- Diagnostic performance and cost-effectiveness of FoCUS in PPS for conditions associated with SCD
Methodological detailsprospective, cost-effectiveness analysis
- Prospective
- Cost-effectiveness analysis
Performance
As reported in the abstract
Detection of cardiac conditions associated with SCD
| Test or model | Value | Sensitivity | Specificity | Total screening cost | Incremental cost-effectiveness ratio |
|---|---|---|---|---|---|
| Model A | 3 events | 19% | 93% | 35.64 euros | |
| Model B | 14 events | 58% | 93% | 87.68 euros | 135.62 euros |
| Model C | 13 events | 94% | 92% | 120.89 euros | 114.31 |
Value
Model A3 events
Model B14 events
Model C13 events
Sensitivity
Model A19%
Model B58%
Model C94%
Specificity
Model A93%
Model B93%
Model C92%
Total screening cost
Model A35.64 euros
Model B87.68 euros
Model C120.89 euros
Incremental cost-effectiveness ratio
Model ANot reported in the abstract
Model B135.62 euros
Model C114.31
Original publication
Cost-effectiveness and diagnostic accuracy of focused cardiac ultrasound in the pre-participation screening of athletes: the SPORT-FoCUS study. Eur J Prev Cardiol. Published 5 September 2023. doi:10.
Summarised from the published abstract; every number is checked against it