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Westwood M, van Asselt T, Ramaekers B, et al. High-sensitivity troponin assays for the early rule-out or diagnosis of acute myocardial infarction in people with acute chest pain: a systematic review and cost-effectiveness analysis. Southampton (UK): NIHR Journals Library; 2015 Jun. (Health Technology Assessment, No. 19.44.)

Cover of High-sensitivity troponin assays for the early rule-out or diagnosis of acute myocardial infarction in people with acute chest pain: a systematic review and cost-effectiveness analysis

High-sensitivity troponin assays for the early rule-out or diagnosis of acute myocardial infarction in people with acute chest pain: a systematic review and cost-effectiveness analysis.

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Glossary

Cost-effectiveness analysis

An economic analysis that converts effects into health terms and describes the costs for additional health gain.

Decision modelling

A mathematical construct that allows the comparison of the relationship between costs and outcomes of alternative health-care interventions.

False-negative

Incorrect negative test result – number of diseased persons with a negative test result.

False-positive

Incorrect positive test result – number of non-diseased persons with a positive test result.

Incremental cost-effectiveness ratio

The difference in the mean costs of two interventions in the population of interest divided by the difference in the mean outcomes in the population of interest.

Index test

The test whose performance is being evaluated.

Likelihood ratio

Likelihood ratios describe how many times more likely it is that a person with the target condition will receive a particular test result than a person without the target condition.

Markov model

An analytic method particularly suited to modelling repeated events, or the progression of a chronic disease over time.

Meta-analysis

Statistical techniques used to combine the results of two or more studies and obtain a combined estimate of effect.

Meta-regression

Statistical technique used to explore the relationship between study characteristics and study results.

Opportunity costs

The cost of forgone outcomes that could have been achieved through alternative investments.

Publication bias

Bias arising from the preferential publication of studies with statistically significant results.

Quality-adjusted life-year

A measure of health gain, used in economic evaluations, in which survival duration is weighted or adjusted by the patient’s quality of life during the survival period.

Quality of life

An individual’s emotional, social and physical well-being and their ability to perform the ordinary tasks of living.

Receiver operating characteristic curve

A graph that illustrates the trade-offs between sensitivity and specificity which result from varying the diagnostic threshold.

Reference standard

The best currently available method for diagnosing the target condition. The index test is compared against this to allow calculation of estimates of accuracy.

Sensitivity

Proportion of people with the target disorder who have a positive test result.

Specificity

Proportion of people without the target disorder who have a negative test result.

True-negative

Correct negative test result – number of non-diseased persons with a negative test result.

True-positive

Correct positive test result – number of diseased persons with a positive test result.

Copyright © Queen’s Printer and Controller of HMSO 2015. This work was produced by Westwood et al. under the terms of a commissioning contract issued by the Secretary of State for Health. This issue may be freely reproduced for the purposes of private research and study and extracts (or indeed, the full report) may be included in professional journals provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. Applications for commercial reproduction should be addressed to: NIHR Journals Library, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK.

Included under terms of UK Non-commercial Government License.

Bookshelf ID: NBK299649

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