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    USPSTF interventions for CVD risk factors could be cost effective

    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.

    Next: Breaking down the data

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