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Table 3 Costs, number of patient visits and test turnaround time of different screening strategies

From: Prenatal screening for trisomy 21: a comparative performance and cost analysis of different screening strategies

Strategy

Contingent cfDNA screening

Reflex cfDNA screening

Primary cfDNA screening

Risk cut-off(s) of eFTS

1 in 1000

1 in 1000

1 in 1000

1 in 50 and 1 in 1000

cfDNA screening technology

Sequencing

Sequencing

RCA/Imaging solution

RCA/Imaging solution

Sequencing

RCA/Imaging solution

Costs (CAD)

 Total program

$20,053,297

$18,759,518

$18,132,468

$20,059,786

$43,165,976

$41,743,817

 Per woman screening

$201

$188

$181

$201

$432

$417

 Per case of T21 diagnosed prenatally

$82,005

$76,529

$74,112

$81,169

$161,305

$159,510

 Per case of T21 diagnosed prenatally (all cfDNA screening no-call have a PND)

$81,998

$76,691

$74,149

$81,455

$167,680

$162,167

 Per additional case of T21 diagnosed compared to the contingent cfDNA screening

–

–

–

$3799

$1,795,639

$1,687,537

Number of patient visit and turnaround time

 Number of visit (1st cfDNA screening has result)

3

1

1

1

1

1

 Number of visit (1st cfDNA screening no-call result)

4

1

1

1

2

1

 Days from initial sample received to cfDNA screening result (1st cfDNA screening has result)

16

13

7

7

10

4

 Days from initial sample received to cfDNA screening result (1st cfDNA screening no-call result)

26

13

7

7

20

4

  1. cfDNA screening cell free fetal DNA screening, eFTS Enhanced first trimester screening, RCA/Imaging solution automated high precision rolling circle amplification /Imaging solution, T21 Trisomy 21, PND Prenatal diagnosis testing