Table 63Cirrhosis test unit costs

TestCost (£)SourceComment
Transient elastography68.00NHS hospital trustProvided by GDG member
ARFI-VTq50.96AssumptionBuilt on top of ultrasound NHS tariff – see below
pSWE50.96AssumptionAssumed similar to VTq
ELF111.06Crossan 2015
FibroTest (one threshold)44.83Crossan 2015
FIB-4 (one threshold)4.52Crossan 2015
AST/ALT ratio5.41Crossan 2015-Donnan 2009Assumed to equal the cost of an LFT plus the cost of an extra biomarker
APRI4.16Crossan 2015
Platelets2.71Donnan 2009Part of FBC
Liver biopsy639.61NICE MTG027
SAFE algorithm193.09EstimationBased on the proportions of the cohort that received each of the tests included in the algorithm, figures sourced from the original paper
Castera algorithm248.42EstimationBased on the proportions of the cohort that received each of the tests included in the algorithm, figures sourced from the original paper
a

All values were inflated to 2013/14 prices

From: Appendix N, Cost-effectiveness analysis: diagnostic tests and surveillance strategies for cirrhosis

Cover of Cirrhosis in Over 16s
Cirrhosis in Over 16s: Assessment and Management.
NICE Guideline, No. 50.
National Guideline Centre (UK).
Copyright © National Institute for Health and Care Excellence 2016.

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