Related Experiment Video

Updated: Sep 14, 2025

Operant Protocols for Assessing the Cost-benefit Analysis During Reinforced Decision Making by Rodents
07:05

Operant Protocols for Assessing the Cost-benefit Analysis During Reinforced Decision Making by Rodents

Published on: September 10, 2018

6.1K

Economic evaluation of hypertension screening in Iran using a Markov model

Rajabali Daroudi1, Ali Akbari Sari1, Mahmoud Zamandi1

  • 1Department of Health Management, policy and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

Plos One
|July 22, 2025
PubMed

Insights

Regular blood pressure screening is more cost-effective than no screening for preventing cardiovascular disease. Screening every two years from age 30 offers the best value, considering economic thresholds.

Area of Science:

  • Public Health
  • Health Economics
  • Cardiovascular Disease Prevention

Background:

  • Hypertension is a leading global non-communicable disease, significantly increasing cardiovascular disease (CVD) risks like coronary heart disease and stroke.
  • Effective screening strategies are crucial for early detection and management of hypertension to mitigate severe health outcomes.

Purpose of the Study:

  • To conduct a comprehensive economic evaluation of various high blood pressure screening strategies in Iran for the year 2020.
  • To identify the most cost-effective approach for hypertension screening within the Iranian healthcare context.

Main Methods:

  • Utilized a Markov model to assess nine distinct blood pressure screening strategies (varying frequency and starting age).
  • Estimated quality-adjusted life years (QALYs) and costs from a societal perspective over a lifetime horizon.
  • Input data sourced from literature, expert opinions, and existing datasets for model calibration.

Main Results:

  • All evaluated screening strategies demonstrated higher cost-effectiveness than no screening.
  • Five strategies, including triennial screening from ages 30, 40, 50, and biennial/annual screening from age 30, were found to be undominated.
  • Biennial or triennial screening from age 30 emerged as the most cost-effective at a threshold near one times GDP per capita.

Conclusions:

  • All hypertension screening strategies are economically favorable compared to passive surveillance.
  • A screening strategy involving checks every two years, commencing at age 30, is identified as the most cost-effective option in Iran, particularly when considering a cost-effectiveness threshold of one times GDP per capita.
Abstract

More Related Videos

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease06:16

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease

Published on: August 9, 2024

534
Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis07:51

Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis

Published on: September 26, 2018

7.7K

Related Concept Videos

Hypertension III: Clinical Manifestations and Diagnostic Studies01:30

Hypertension III: Clinical Manifestations and Diagnostic Studies

Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
51
Errors occurring during blood pressure monitoring01:25

Errors occurring during blood pressure monitoring

Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
979
Hypertension I: Introduction01:28

Hypertension I: Introduction

Hypertension is a widespread, long-term medical condition where blood pressure in the arteries remains elevated. It is characterized by systolic blood pressure readings of 130 mm Hg or above or diastolic blood pressure (DBP) readings of 80 mm Hg or higher. Unmanaged hypertension poses significant health risks, making the distinction between primary (or essential) hypertension and secondary hypertension crucial, as their management and implications vary.Primary HypertensionPrimary hypertension,...
80
Pre-Procedural Guidelines for Assessing Blood Pressure01:10

Pre-Procedural Guidelines for Assessing Blood Pressure

Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
628
Hypertension V: Nursing Management01:23

Hypertension V: Nursing Management

The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
45
Hypertension and Regulation of Blood Pressure01:18

Hypertension and Regulation of Blood Pressure

Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
3.1K