Cost-effectiveness of enhanced liver fibrosis test to assess liver fibrosis in chronic hepatitis C virus and alcoholic liver disease patients

Table 1 Test strategies

Strategy	First test result		Confirmation test result
	Negative	Positive	Negative	Positive
Single biopsy	No action	Treatment + annual screening for HCC and DC if F = 4	No confirmation test is performed
Annual ELF/LSM	Annual ELF	LSM	Annual ELF	Treatment + annual screening for HCC and DC if F = 4
Annual ELF	Annual ELF	Treatment + annual screening for HCC and DC if F = 4	No confirmation test is performed

ELF: Enhanced liver fibrosis test; LSM: Liver stiffness measurement; HCC: Hepatocellular carcinoma; DC: Decompensated cirrhosis.