Table 1.
Cost-effectiveness results of biannual HCC surveillance in CHB patients with virological remission
| Surveillance age group | compensated cirrhosis | advanced fibrosis (non-cirrhotic) | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Costs per patient ($) | QALYs gained per patient | ICERs vs. no surveillance (US$/QALY) | ICER vs. next screening strategy (US$/QALY) | Costs per patient ($) | QALYs gained per patient | ICERs vs. no surveillance (US$/QALY) | ICER vs. next screening strategy (US$/QALY) | ||||
| No surveillance | 86,161 | 11.533 | / | / | 6,011 | 14.820 | / | / | |||
| Surveillance (Biannual) | |||||||||||
| Start age | Stop age | ||||||||||
| 40 | 50 | 92,711 | 11.597 | 102,472 | 102,472 | 7,467 | 14.897 | 18,900 | 18,900 | ||
| 55 | 99,077 | 11.740 | 62,512 | 44,613 | 8,121 | 15.009 | 11,171 | 5,846 | |||
| 60 | 106,303 | 11.845 | 64,625 | 68,779 | 9,492 | 15.123 | 11,501 | 12,049 | |||
| 65 | 115,324 | 12.027 | 59,120 | 49,673 | 10,546 | 15.344 | 8,654 | 4,760 | |||
| 70 | 119,492 | 12.143 | 54,652 | 35,749 | 11,527 | 15.419 | 9,215 | 13,161 | |||
| 75 | 123,954 | 12.212 | 55,690 | 64,894 | 12,457 | 15.490 | 9,616 | 12,970 | |||
| 45 | 55 | 96,490 | 11.739 | 50,146 | 50,146 | 7,800 | 14.964 | 12,461 | 12,461 | ||
| 60 | 103,062 | 11.832 | 56,536 | 70,694 | 9,113 | 15.051 | 13,418 | 14,987 | |||
| 65 | 112,072 | 12.017 | 53,571 | 48,773 | 10,161 | 15.275 | 9,128 | 4,691 | |||
| 70 | 116,071 | 12.133 | 49,855 | 34,397 | 11,149 | 15.351 | 9,689 | 13,063 | |||
| 75 | 120,523 | 12.202 | 51,358 | 64,403 | 12,074 | 15.422 | 10,070 | 12,882 | |||
| 50 | 60 | 102,844 | 11.863 | 50,661 | 50,661 | 9,636 | 15.089 | 13,473 | 13,473 | ||
| 65 | 112,030 | 12.016 | 53,636 | 60,039 | 10,683 | 15.274 | 10,296 | 5,667 | |||
| 70 | 115,576 | 12.135 | 48,876 | 29,668 | 11,726 | 15.371 | 10,378 | 10,764 | |||
| 75 | 119,840 | 12.201 | 50,442 | 64,758 | 12,447 | 15.429 | 10,578 | 12,484 | |||
| 55 | 65 | 101,671 | 11.846 | 49,632 | 49,632 | 9,236 | 15.167 | 9,313 | 9,313 | ||
| 70 | 106,223 | 11.925 | 51,236 | 57,573 | 10,309 | 15.231 | 10,462 | 16,628 | |||
| 75 | 110,585 | 11.996 | 52,782 | 61,289 | 10,888 | 15.304 | 10,081 | 7,937 | |||
| 60 | 70 | 100,985 | 11.785 | 58,964 | 58,964 | 8,725 | 15.116 | 9,173 | 9,173 | ||
| 75 | 104,049 | 11.841 | 58,149 | 54,505 | 9,361 | 15.167 | 9,674 | 12,607 | |||
| 65 | 75 | 94,813 | 11.708 | 49,429 | 49,429 | 8,076 | 14.970 | 13,751 | 13,751 | ||
CHB, chronic hepatitis B; HCC, hepatocellular carcinoma; QALY, quality-adjusted life years; ICER, incremental cost-effectiveness ratio