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Table 3 Cost-effectiveness of the TACScore strategy versus the WES strategy from the personal budget perspective

From: Cost-effectiveness analysis of using the TBX6-associated congenital scoliosis risk score (TACScore) in genetic diagnosis of congenital scoliosis

 

Model 1:

WES as a first-line test (USD)

Model 2:

TACScore as a screening test (USD)

Assessments

 Outpatient appointment

1336.3

1336.3

 Genetic consultation

676.2

64.4

 Clinical consultation

1336.3

1336.3

TBX6 Monogenic test

 Sanger sequencing

995.4

2061.9

 ddPCR

1352.4

2801.4

Next generation sequencing

 WES

90868.4

49266.0

Other

 DNA extraction and shipping

2485.5

2485.5

Total cost

99050.5

59351.8

Total diagnostic time (d)

3656

2527

Total number of patients

83

83

Number of patients underwent WES

83

45

Total number of diagnoses

42

42

Average cost per patient (95% CI)

1193.4 (1185.5, 1201.3)

715.1 (594.5, 835.7)

Average cost difference (95% CI)

–

−478.3 (−599.1, −357.5)

Average diagnostic time per patient (95% CI) (d)

44.0 (43.2, 44.9)

30.4 (26.3, 34.6)

Average diagnostic time difference (95% CI) (d)

–

−13.6 (−17.8, −9.4)

  1. Abbreviations: WES whole-exome sequencing, TACScore TBX6-associated congenital scoliosis risk score, ddPCR droplet digital polymerase chain reaction