title: Are there financial savings associated with supplementing current diagnostic practice for preeclampsia with a novel test? Learnings from a modeling analysis from a German payer perspective.
abstract: OBJECTIVE
  To quantify the financial impact of adding a novel serum test to the current diagnostic toolkit for preeclampsia (PE) detection in Germany.
  
  
  METHODS
  A decision-analytic model was created to quantify the economic impact of adding a recently developed novel diagnostic test for PE (Roche Diagnostics, Rotkreuz, Switzerland) to current diagnostic practice in Germany. The model simulated a cohort of 1000 pregnant patients receiving obstetric care and quantified the budget impact of adding the novel test to current German PE detection and management practices.
  
  
  RESULTS
  The model estimates that the costs associated with managing a typical pregnancy in Germany are €941 when the novel test is used versus €1579 with standard practice. This represents savings of €637 per pregnant woman, even when the test is used as a supplementary diagnostic tool. The savings are attributed to the novel test's ability to better classify patients relative to current practice, specifically, its ability to reduce false negatives by 67% and false positives by 71%.
  
  
  CONCLUSIONS
  The novel PE test has the potential to provide substantial cost savings to German healthcare payers, even when used as an addition to standard practice. Better classification of patients at risk for developing PE and declassification of those that are not compared to current practice leads to economic savings for the healthcare system. Furthermore, by reducing the rates of false-positive and false-negative classification relative to current standard of care, the test helps better target healthcare spending and lowers overall costs associated with PE care.
authors.affiliation: United BioSource Corporation, Lexington, MA 02420, USA.
authors.forename: Nandini
authors.initials: N
authors.lastname: Hadker
authors.forename: Suchita
authors.initials: S
authors.lastname: Garg
authors.forename: Cory
authors.initials: C
authors.lastname: Costanzo
authors.forename: Wim
authors.initials: W
authors.lastname: van der Helm
authors.forename: James
authors.initials: J
authors.lastname: Creeden
mesh_terms: D003661:Decision Support Techniques; D005189:False Positive Reactions; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D011225:Pre-Eclampsia / Q000097:blood / Q000175:diagnosis* / Q000453:epidemiology; D011237:Predictive Value of Tests; D011247:Pregnancy; D011295:Prenatal Care / Q000191:economics*