Table 2.
Cost-effectiveness results of annual 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 (Annual) | |||||||||||
| Start age | Stop age | ||||||||||
| 40 | 50 | 88,090 | 11.609 | 25,511 | 25,511 | 6,490 | 14.906 | 5,582 | 5,582 | ||
| 55 | 91,784 | 11.687 | 36,475 | 47,028 | 9,053 | 14.981 | 18,960 | 34,363 | |||
| 60 | 96,631 | 11.855 | 32,545 | 28,928 | 9,359 | 15.091 | 12,347 | 2,759 | |||
| 65 | 102,875 | 12.018 | 34,488 | 38,325 | 10,495 | 15.309 | 9,167 | 5,213 | |||
| 70 | 105,911 | 12.119 | 33,742 | 30,151 | 11,350 | 15.405 | 9,136 | 8,979 | |||
| 75 | 108,207 | 12.180 | 34,072 | 37,196 | 11,675 | 15.470 | 8,720 | 4,984 | |||
| 45 | 55 | 92,279 | 11.658 | 49,181 | 49,181 | 9,140 | 14.940 | 26,099 | 26,099 | ||
| 60 | 96,977 | 11.795 | 41,369 | 34,279 | 9,515 | 15.022 | 17,330 | 4,554 | |||
| 65 | 102,968 | 11.963 | 39,144 | 35,680 | 10,535 | 15.236 | 10,886 | 4,780 | |||
| 70 | 105,797 | 12.064 | 36,990 | 27,875 | 11,417 | 15.337 | 10,460 | 8,713 | |||
| 75 | 107,985 | 12.127 | 36,744 | 34,674 | 11,736 | 15.403 | 9,822 | 4,825 | |||
| 50 | 60 | 96,004 | 11.817 | 34,726 | 34,726 | 9,527 | 15.030 | 16,768 | 16,768 | ||
| 65 | 101,448 | 11.973 | 34,804 | 34,947 | 10,926 | 15.236 | 11,824 | 6,792 | |||
| 70 | 104,657 | 12.078 | 33,952 | 30,407 | 11,988 | 15.343 | 11,443 | 9,959 | |||
| 75 | 106,890 | 12.140 | 34,192 | 36,311 | 12,346 | 15.405 | 10,839 | 5,762 | |||
| 55 | 65 | 95,256 | 11.817 | 32,072 | 32,072 | 8,288 | 15.099 | 8,156 | 8,156 | ||
| 70 | 98,293 | 11.925 | 30,969 | 28,076 | 9,347 | 15.197 | 8,864 | 10,901 | |||
| 75 | 100,639 | 11.965 | 33,529 | 58,543 | 9,903 | 15.271 | 8,635 | 7,474 | |||
| 60 | 70 | 96,077 | 11.754 | 45,022 | 45,022 | 8,787 | 15.044 | 12,424 | 12,424 | ||
| 75 | 98,005 | 11.847 | 37,809 | 20,731 | 9,132 | 15.100 | 11,171 | 6,166 | |||
| 65 | 75 | 91,698 | 11.701 | 33,100 | 33,100 | 8,057 | 14.951 | 15,612 | 15,612 | ||
CHB, chronic hepatitis B; HCC, hepatocellular carcinoma; QALY, quality-adjusted life years; ICER, incremental cost-effectiveness ratio