Table 4.
Base CareValues and Variables | Sensitivity Analysis Boundary | Reporting Strategy | Cost ($) | Effect (QALY) | Cost/ Effect ($/QALY) | Descriptive Outcome | ICER ($/QALY)b | See Figure |
---|---|---|---|---|---|---|---|---|
Base case values | SCr | 186,088 | 11.090 | 16,779 | eGFR more effective and less costly (dominant) | NA | ||
eGFR | 185,933 | 11.100 | 16,751 | |||||
QALY of FP-CKD | Lower | SCr | 186,088 | 11.068 | 16,813 | SCr more cost- effective | 4,376 | 3a |
eGFR | 185,933 | 11.032 | 16,853 | |||||
Upper | SCr | 186,088 | 11.090 | 16,779 | eGFR more effective and less costly (dominant) | NA | ||
eGFR | 185,933 | 11.100 | 16,751 | |||||
Annual probability of progressing from CKD to ESRD | Lower | SCr | 177,752 | 11.276 | 15,764 | SCr more cost- effective | 20,289 | 3b |
eGFR | 177,824 | 11.279 | 15,765 | |||||
Upper | SCr | 194,479 | 10.891 | 17,857 | eGFR more effective and less costly (dominant) | NA | ||
eGFR | 194,142 | 10.905 | 17,802 | |||||
Sensitivity of SCr | Lower | SCr | 186,422 | 11.082 | 16,822 | eGFR more effective and less costly (dominant) | NA | 3c |
eGFR | 185,933 | 11.100 | 16,751 | |||||
Upper | SCr | 185,725 | 11.099 | 16,733 | SCr more cost-effective | 433,324 | ||
eGFR | 185,933 | 11.100 | 16,751 |
QALY, quality adjusted life year; ICER, incremental cost-effectiveness ratio; SCr, serum creatinine; eGFR, estimated glomerular filtration rate; CKD, chronic kidney disease, stages 3 to 4 (glomerular filtration rate 15 to 59 ml/min/1.73 m2); FP-CKD, false-positive state for patient without chronic kidney disease, stages 3 to 4; ESRD, end stage renal disease (glomerular filtration rate < 15 ml/min/1.73 m2).
Results calculated using base case values and the upper and lower boundary values used in one-way sensitivity analyses.
ICER results as generated by TreeAge, and differ slightly from ICER values calculated from table due to differing numbers of significant digits.