The 2014 U.S. Preventive Services Task Force (USPSTF) recommendation for behavioral counseling interventions for adults with cardiovascular disease (CVD) risk factors would be cost effective based on the conventional cost-effectiveness threshold, according to the results of a study published recently in Diabetes Care.
The study estimated that the intervention would cost approximately $13,900 per quality-adjusted life year (QALY).
“We estimate that under the new USPSTF recommendation on behavioral counseling for CVD prevention, ~98 million Americans are eligible for the intervention, which would cost $64 billion if all were to participate,” wrote Ji Lin, of the division of diabetes translation at the Centers for Disease Control and Prevention, and colleagues. “Applying the conventional ‘willingness-to-pay’ cutoff of $50,000/QALY, the intervention is cost effective for the overall targeted population as well as for each age group.”
In August 2014, the USPSTF released a recommendation for intensive behavioral counseling to reduce CVD risks in overweight or obese adults with one or more of these risk factors: hypertension, dyslipidemia, impaired fasting glucose or metabolic syndrome. The intervention would be delivered by trained professionals and would include a healthy diet and physical activity, individual feedback, problem-solving skills and an individualized plan.
With this study, Li and colleagues assessed the long-term cost effectiveness of the implementation of this intervention in the United States. Using a disease progression model, they simulated the 25-year cost-effectiveness of the recommendation for all eligible U.S. adults and subgroups.