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Table 4 De-implementation impact on health care costs per allocated health care unit

From: Reporting of costs and economic impacts in randomized trials of de-implementation interventions for low-value care: a systematic scoping review

Author + year

Target clinical intervention

Direction of impact

Size of impact

Size in US $ (2021 value)

Unit specified by study authors

Bates et al. (1997) [49]

Diagnostic imaging, laboratory tests

Decreased

US $1.7 million

2.7 milliona

Annual hospital charge

Bates et al. (1999) [50]

Laboratory tests

Decreased

US $35,000

54,300a

Annual

Daley et al. (2018) [51]

Drug treatment, AB

Decreased

US $14.94

15.0a

Per patient

Feldman et al. (2013) [52]

Laboratory tests

Decreased

US $436,115

507,000a

Per hospital/6 months

Shojania et al. (1998) [53]

Drug treatment, AB

Decreased

US $22,500

35,400a

Year

Soumerai et al. (1993) [28]

Blood transfusion

Decreased

US $3300

5670a

Per day of educational visit

Tierney et al. (1988) [54]

Diagnostic imaging, laboratory tests

Decreased

US $1.09

2.01a

Per patient

Tierney et al. (1990) [55]

Diagnostic imaging, laboratory tests

Decreased

US $6.68

11.20a

Per patient

Torrente et al. (2020) [56]

Drug treatment

Decreased

US $234,893

245,000a

Year in Argentina

Auleley et al. (1997) [57]

Diagnostic imaging

Decreased

130,000 FRF

35,400b

In 5 hospitals

Cohen et al. (2000) [58]

Drug treatment, AB

Decreased

8.9 FRF

1.52b

Per episode

Yip et al. (2014) [59]

Drug treatment, AB

Decreased

0.45–0.47 CNY

0.08b

Per visit

Tan et al. (2020) [60]

Diagnostic imaging

Unchanged

NA

  

Sedrak et al. (2017) [61]

Laboratory tests

Unchanged

NA

  
  1. References of currency conversions
  2. aSamuel H. Williamson, “Seven Ways to Compute the Relative Value of a U.S. Dollar Amount, 1790 to present,” Measuring Worth, 2022, https://www.measuringworth.com/calculators/uscompare/
  3. bfirst converted with Lawrence H. Officer, "Exchange Rates Between the United States Dollar and Forty-one Currencies,", MeasuringWorth, 2022, http://www.measuringworth.com/exchangeglobal/ to USD, then with reference a to present value