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. 2025 Oct 8;9(6):947–958. doi: 10.1007/s41669-025-00605-y

Table 2.

Key second-order probabilistic lifetime outcomes per individual

Outcome Mean (95% CrI) outcome for aRBCX Mean (95% CrI) outcome for mRBCX Mean (95% CrI) incremental outcome
Adult-initiated individuals
Total costs (discounted) £495,738 (£493,028 to £498,449) £557,634 (£555,136 to £560,132) − £61,895 (− £63,392 to − £60,399)
Total QALYs (discounted) 9.38 (9.34 to 9.42) 9.15 (9.11 to 9.19) 0.24 (0.22 to 0.25)
ICER aRBCX dominates mRBCX
Percentage of cost-saving PSA iterations 100.0%
Percentage of QALY-increasing PSA iterations 91%
Percentage of cost-effective PSA iterations 100.0%
Total number of DMTs 149.28 (148.70 to 149.86) 293.20 (292.02 to 294.39) − 143.92 (− 144.58 to − 143.27)
Total number of acute clinical events 58.08 (56.92 to 59.24) 71.41 (70.43 to 72.40) − 13.33 (− 14.18 to − 12.49)
Total months spent on chelation therapy 4.76 (4.74 to 4.77) 36.50 (36.00 to 37.00) − 31.75 (− 32.24 to − 31.25)
Total LYs (undiscounted) 24.84 (24.74 to 24.93) 24.43 (24.33 to 24.53) 0.40 (0.37 to 0.43)
Paediatric-initiated individuals
Total costs (discounted) £534,091 (£531,017 to £537,165) £646,902 (£644,283 to £649,521) − £112,811 (− £114,789 to − £110,833)
Total QALYs (discounted) 16.04 (16.00 to 16.08) 15.75 (15.71 to 15.80) 0.29 (0.27 to 0.31)
ICER aRBCX dominates mRBCX
Percentage of cost-saving PSA iterations 100.0%
Percentage of QALY-increasing PSA iterations 91.2%
Percentage of cost-effective PSA iterations 100.0%
Total number of DMTs 283.26 (282.22 to 284.3) 557.01 (554.78 to 559.24) − 273.75 (− 275.02 to − 272.48)
Total number of acute clinical events 105.27 (103.39 to 107.16) 129.20 (127.82 to 130.58) − 23.93 (− 25.45 to − 22.40)
Total months spent on chelation therapy 4.79 (4.78 to 4.81) 67.92 (66.98 to 68.86) − 63.13 (− 64.07 to − 62.19)
Total LYs (undiscounted) 47.17 (46.99 to 47.34) 46.42 (46.23 to 46.60) 0.75 (0.70 to 0.80)

aRBCX automated red blood cell exchange, CrI credible interval, DMT disease-modifying exchange transfusion, ICER incremental cost-effectiveness ratio, LY life year, mRBCX manual red blood cell exchange, PSA probabilistic sensitivity analysis, QALY quality-adjusted life year