Opportunistic screening for identifying atrial fibrillation

A model-based cost-effectiveness analysis of opportunistic screening for identifying (undetected) atrial fibrillation (AF)

A model-based cost-effectiveness analysis was undertaken of opportunistic screening for identifying (undetected) atrial fibrillation (AF) with a single-lead handheld electrocardiogram (ECG) monitor compared to standard practice (i.e. usual case finding) in general practitioner practices in Scotland.

Outcome and Translation

The results of this study will help inform the potential cost-effectiveness of opportunistic AF screening (using a hand-held single-lead ECG device) versus alternative scenarios of standard case finding. Whilst conclusions are subject to uncertainty owing to a lack of comparative data on case finding under routine clinical practice, ultimately the results may help inform the decision on whether or not to roll out a national AF screening programme in primary care in Scotland (using a single-lead ECG monitor screening strategy/technology) in a QOF chronic disease population.

HERU researchers involved in this research project: Aileen Neilson, Graham Scotland and Emma Tassie

Publications

Tassie, E., Scotland, G. and Neilson, A. R. (2016) A model based cost-effectiveness analysis of opportunistic screening for identifying atrial fibrillation with a single lead handheld electrocardiogram monitor in general practices in Scotland, Final report. HERU, University of Aberdeen. [pdf]

Grubb, N.R., Elder, D., Broadhurst, P., Reoch, A., Tassie, E. and Neilson, A. (2019) 'Atrial fibrillation case finding in over 65s with cardiovascular risk factors: results of initial Scottish clinical experience', International Journal of Cardiology, 288(August), 94-99.

Presentations

Tassie, E., Scotland, G., Grubb, N. and Neilson, A.R. (2017) 'A model based cost-effectiveness analysis of opportunistic screening for identifying atrial fibrillation with a single lead handheld electrocardiogram monitor in general practices in Scotland' [poster], NHS Scotland Event, Scottish Event Campus, Glasgow, 20-21 June 2017.