Cost-effectiveness of transient elastography for liver fibrosis screening in Thai patients with diabetes mellitus

doi:10.3748/wjg.v31.i32.110333

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Aug 28, 2025 (publication date) through Aug 27, 2025

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastroenterol. Aug 28, 2025; 31(32): 110333
Published online Aug 28, 2025. doi: 10.3748/wjg.v31.i32.110333

Table 3 Budget impact analysis

Parameter	Y1	Y2	Y3	Y4	Y5	Total
Total population	21348831					21348831
New population		1028431	1011655	1033245	1046481	4119812
Patients with DM	2113534	9331	9179	9375	9495	2150915
Patients evaluated with scoring system	1902181	8398	8261	8438	8546	1935824
FIB-4 + TE
Patients with FIB-4 ≥ 1.3	1004193	2990	2941	3004	3042	1016170
Patients undergo TE	903774	2691	2647	2703	2738	914553
Total BIA, THB (USD)	2323021957 (67062996)	7657269 (221057)	7532362 (217451)	7693112 (222091)	7791661 (224936)	2353696361 (67948531)
Average annual budget, THB (USD)						470739272 (13589706)
SAFE + TE
Patients with SAFE ≥ 0	1687835	7338	7219	7373	7467	1717232
Patients undergo TE	1519052	6604	6497	6635	6720	1545509
Total BIA, THB (USD)	3714212955 (107225095)	16194000 (467502)	15929840 (459876)	16269803 (469691)	16478221 (475707)	3779084819 (109097872)
Average annual budget, THB (USD)						755816964 (21819574)
TE alone
Patients undergo screening	1690827	7465	7343	7500	7596	1720732
Total BIA, THB (USD)	3381654830 (97624521)	14930254 (431019)	14686708 (423989)	15000141 (433037)	15192295 (438584)	3441464227 (99351150)
Average annual budget, THB (USD)						688292845 (19870230)

BIA: Budget impact analysis; DM: Diabetes mellitus; FIB-4: Fibrosis-4 index; SAFE: Steatosis-associated fibrosis estimator score; TE: Transient elastography; THB: Thai baht; USD: United States dollar; Y: Year.

Citation: Kositamongkol C, Tantiyavarong P, Ratanatawan A, Sripongpun P, Mahawithitwong P, Kositamongkol P, Saokaew S, Phisalprapa P. Cost-effectiveness of transient elastography for liver fibrosis screening in Thai patients with diabetes mellitus. World J Gastroenterol 2025; 31(32): 110333
URL: https://www.wjgnet.com/1007-9327/full/v31/i32/110333.htm
DOI: https://dx.doi.org/10.3748/wjg.v31.i32.110333