Affordable Access

deepdyve-link
Publisher Website

The compliance and cost-effectiveness of smartphone urinalysis albumin screening for people with diabetes in England.

Authors
  • Shore, Judith1
  • Green, Michelle1
  • Hardy, Andrew2
  • Livesey, Deborah3
  • 1 York Health Economics Consortium, Enterprise House, Innovation Way, University of York , York, UK.
  • 2 Diadem Medical Practice, Modality Partnership, NHS , Hull, UK.
  • 3 Fisher Medical Practice, Modality Partnership, NHS , Skipton, UK.
Type
Published Article
Journal
Expert review of pharmacoeconomics & outcomes research
Publication Date
Aug 01, 2020
Volume
20
Issue
4
Pages
387–395
Identifiers
DOI: 10.1080/14737167.2019.1650024
PMID: 31354065
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

People with diabetes are at increased risk of developing chronic kidney disease (CKD) and should undergo annual screening, but adherence is poor. A home urinalysis self-test has been developed to improve compliance with screening. The objective of this paper is to report on a clinical evaluation and economic analysis of home urinalysis self-testing. People with diabetes who had not undergone screening within the previous 18 months were recruited to a single-arm clinical evaluation to assess the uptake and compliance of home urinalysis self-testing. An economic evaluation assessed the likely cost-consequences of the use of home urinalysis self-testing over a lifetime time horizon. A total of 2,196 people with diabetes were contacted as part of the clinical evaluation. Of these, 695 people agreed to be sent a home urinalysis self-testing kit and 499 people completed and returned the test. Cost savings of £2,008 per person were estimated over a lifetime due to increased CKD diagnosis and reduced progression to end stage renal disease. Home urinalysis self-testing of ACR in people with diabetes is estimated to be a cost-effective use of NHS resources in England in people who would otherwise not comply with standard care.

Report this publication

Statistics

Seen <100 times