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dc.contributor.supervisor Tangri, Navdeep (Community Health Sciences) Forget, Evelyn (Community Health Sciences) en_US
dc.contributor.author Ferguson, Thomas
dc.date.accessioned 2015-07-06T20:09:26Z
dc.date.available 2015-07-06T20:09:26Z
dc.date.issued 2015-07-06
dc.identifier.uri http://hdl.handle.net/1993/30608
dc.description.abstract Chronic Kidney Disease (CKD) is a risk factor for cardiovascular disease, early mortality, and kidney failure. There is a substantial burden of CKD in Manitoba’s rural and remote First Nations. Early detection and treatment of CKD in this population may be cost-effective. We constructed a Markov model comparing screening for CKD, by both estimated glomerular filtration rate and albuminuria, to usual care using the perspective of the health care payer. Patients were classified into initial risk groups based on results from the First Nations Community Based Screening to Improve Kidney Health and Prevent Dialysis initiative. Screening in Manitoba’s rural and remote First Nations was associated with a $33,500/QALY incremental cost-effectiveness ratio in comparison to usual care. Restricting to communities accessible primarily by air travel, this ratio fell to $16,180/QALY. In conclusion, at a willingness-to-pay threshold of $50,000/QALY, screening for CKD in Manitoba’s rural and remote First Nations is likely cost-effective. en_US
dc.subject Kidney en_US
dc.subject Cost-Effectiveness en_US
dc.subject Screening en_US
dc.subject Cost-Utility en_US
dc.subject Dialysis en_US
dc.subject Renal en_US
dc.subject Cost en_US
dc.subject Model en_US
dc.title The cost-effectiveness of primary screening for chronic kidney disease in Manitoba’s rural and remote First Nations en_US
dc.degree.discipline Community Health Sciences en_US
dc.contributor.examiningcommittee Ahmed, Rashid (Community Health Sciences) Komenda, Paul (Internal Medicine) en_US
dc.degree.level Master of Science (M.Sc.) en_US
dc.description.note October 2015 en_US


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