Table 4 |
|||||
|
Sensitivity analysis |
|||||
| Change in Outcome |
CER |
||||
| Parameter |
Net Cost |
LYG |
QALY |
Cost/LYG |
Cost/QALY |
|
|
|||||
| Base values |
£2,066 |
0.32 |
0.37 |
£6,772 |
£5,609 |
| Age (mean) |
|||||
| 46.5 years |
£2,531 |
0.34 |
0.45 |
£7,476 |
£5,589 |
| 82.5 years |
£718 |
0.14 |
0.12 |
£5,303 |
£5,804 |
| Cost of complications |
|||||
| +20% |
£1,973 |
0.32 |
0.37 |
£6,213 |
£5,357 |
| -20% |
£2,159 |
0.32 |
0.37 |
£6,799 |
£5,861 |
| Duration of disease before oral agent prescribed |
|||||
| 5 years |
£2,101 |
0.27 |
0.33 |
£7,680 |
£6,320 |
| 10 years |
£1,971 |
0.31 |
0.35 |
£6,260 |
£5,553 |
| Utilities |
|||||
| +20% |
£2,066 |
0.32 |
0.36 |
£6,506 |
£5,807 |
| -20% |
£2,066 |
0.32 |
0.38 |
£6,506 |
£5,426 |
| Race |
|||||
| 100% Caucasian |
£2,105 |
0.31 |
0.36 |
£6,686 |
£5,771 |
| HbA1c level |
|||||
| HbA1c before prescription = 9.4% |
£1,782 |
0.37 |
0.42 |
£4,784 |
£4,287 |
| Metformin = 8.6% |
|||||
| Combination = 7.9% |
|||||
| HbA1c before prescription = 7.9% |
£2,184 |
0.28 |
0.34 |
£7,904 |
£6,516 |
| Metformin = 7.1% |
|||||
| Combination = 6.4% |
|||||
| HbA1c upward drift |
|||||
| Metformin = 1.5%; Combination = 0% |
£1,478 |
0.54 |
0.65 |
£2,761 |
£2,272 |
| Metformin = 0%; Combination = 0% |
£2,307 |
0.28 |
0.31 |
£8,336 |
£7,338 |
| HbA1c drift delay |
|||||
| Metformin = 0 years; Combination = 1 year |
£1,987 |
0.35 |
0.41 |
£5,715 |
£4,870 |
| Discount |
|||||
| Cost = 3%; Benefit = 3% |
£2,420 |
0.26 |
0.30 |
£9,319 |
£8,058 |
| Cost = 6%; Benefit = 6% |
£2,066 |
0.18 |
0.21 |
£11,369 |
£9,888 |
| Cost = 6%; Benefit = 0% |
£2,066 |
0.39 |
0.46 |
£5,237 |
£4,500 |
|
|
|||||
|
Ward et al. Cost Effectiveness and Resource Allocation 2004 2:2 doi:10.1186/1478-7547-2-2 |
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