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dc.contributor.supervisorTangri, Navdeep (Community Health Sciences) Forget, Evelyn (Community Health Sciences)en_US
dc.contributor.authorFerguson, Thomas
dc.date.accessioned2015-07-06T20:09:26Z
dc.date.available2015-07-06T20:09:26Z
dc.date.issued2015-07-06
dc.identifier.urihttp://hdl.handle.net/1993/30608
dc.description.abstractChronic 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.language.isoengen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectKidneyen_US
dc.subjectCost-Effectivenessen_US
dc.subjectScreeningen_US
dc.subjectCost-Utilityen_US
dc.subjectDialysisen_US
dc.subjectRenalen_US
dc.subjectCosten_US
dc.subjectModelen_US
dc.titleThe cost-effectiveness of primary screening for chronic kidney disease in Manitoba’s rural and remote First Nationsen_US
dc.typeinfo:eu-repo/semantics/masterThesis
dc.typemaster thesisen_US
dc.degree.disciplineCommunity Health Sciencesen_US
dc.contributor.examiningcommitteeAhmed, Rashid (Community Health Sciences) Komenda, Paul (Internal Medicine)en_US
dc.degree.levelMaster of Science (M.Sc.)en_US
dc.description.noteOctober 2015en_US
local.subject.manitobayesen_US


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