Table 1 Cost-effectiveness of standard ECP screening vs autonomous AI screening in pediatric patients with Type 1 and Type 2 diabetes
From: Cost-effectiveness of AI for pediatric diabetic eye exams from a health system perspective
Scenario | Number of pediatric endocrine sites across health system | Annual diabetes patient volume | Screening Strategy | Health system cost (USD $) | Cost difference of the AI and ECP strategies (Δ Cost) | Number of Patients Screened through each strategy | Difference in Effect (Δ Effect of AI and ECP strategies)) | ICER (Δ Cost/ Δ Effect) |
|---|---|---|---|---|---|---|---|---|
Small health system | 1 | 100 | Standard: ECP strategy | $8927 | Â | 52 | Â | Â |
Alternative: AI strategy | $19,368 | $10,441 | 95 | 43 | 242 | |||
Small health system | 1 | 200 | Standard: ECP strategy | $17,854 | Â | 104 | Â | Â |
Alternative: AI strategy | $20,935 | $3081 | 190 | 86 | 36 | |||
Medium- sized health system | 1 | 400 | Standard: ECP strategy | $35,707 | Â | 208 | Â | Â |
Alternative: AI strategy | $24,070 | –$11,637 | 380 | 172 | -68 | |||
Medium- sized health system | 1 | 600 | Standard: ECP strategy | $53,561 | Â | 311 | Â | Â |
Alternative: AI strategy | $27,205 | –$26,356 | 570 | 259 | -102 | |||
Medium- sized health system | 2 | 400 | Standard: ECP strategy | $35,707 | Â | 208 | Â | Â |
Alternative: AI strategy | $41,870 | $6163 | 380 | 172 | 36 | |||
Medium- sized health system | 2 | 600 | Standard: ECP strategy | $53,561 | Â | 311 | Â | Â |
Alternative: AI strategy | $45,005 | –$8556 | 570 | 259 | -33 | |||
Large health system | 3 | 1000 | Standard: ECP strategy | $89,268 | Â | 519 | Â | Â |
Alternative: AI strategy | $69,075 | –$20,193 | 950 | 431 | -47 | |||
Large health system | 3 | 4000 | Standard: ECP strategy | $357,072 | Â | 2076 | Â | Â |
Alternative: AI strategy | $116,100 | –$240,972 | 3800 | 1724 | -140 | |||
Large health system | 4 | 1000 | Standard: ECP strategy | $89,268 | Â | 519 | Â | Â |
Alternative: AI strategy | $86,875 | -$2393 | 950 | 431 | -6 | |||
Large health system | 4 | 4000 | Standard: ECP strategy | $357,072 | Â | 2076 | Â | Â |
Alternative: AI strategy | $133,900 | –$223,172 | 3800 | 1724 | -129 |
