Table 3. Results of Deterministic Sensitivity Analyses.
Strategy | Annual overdose rate per 1000 peoplea | Remaining undiscounted LYs per personb | Total discounted cost per person, $b | Change in discounted cost per person, $b | Remaining discounted QALYs per personb | Change in remaining discounted QALYs per personb | ICER ($/LY)b | ICER ($/QALY)b |
---|---|---|---|---|---|---|---|---|
Sensitivity analysis: 80% decreased pharmaceutical cost | ||||||||
No medication treatment strategy | 7.77 | 20.54 | 241 070 | NA | 8.33 | NA | NA | NA |
Treatment with extended-release buprenorphine strategy | 6.53 | 27.39 | 293 040 | 51 970 | 11.52 | 3.19 | 15 140 | 16 300 |
Treatment with transmucosal buprenorphine strategy | 6.49 | 27.44 | 293 730 | 680 | 11.55 | 0.03 | 23 410 | 19 760 |
Sensitivity analysis: 191% increased retention | ||||||||
No medication treatment strategy | 7.77 | 20.54 | 241 070 | NA | 8.33 | NA | NA | NA |
Treatment with transmucosal buprenorphine strategy | 5.10 | 28.26 | 338 480 | 97 410 | 12.07 | 3.75 | 25 560 | 25 990 |
Treatment with extended-release buprenorphine strategy | 4.27 | 28.57 | 358 280 | 19 800 | 12.28 | 0.20 | 118 610 | 97 840 |
Abbreviations: ICER, incremental cost-effectiveness ratio; LY, life-years; QALY, quality-adjusted life-years.
Calculated over the first 10 years of the simulation.
Costs and ICERs were rounded to nearest $10 and QALYs and LYs to nearest 0.01.