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. 2011 Oct 31;343:d6333. doi: 10.1136/bmj.d6333

Table 4.

 Cost effectiveness results for subgroups, based on probabilistic sensitivity analysis

Subgroup Warfarin cost (£) Warfarin QALYs Dabigatran 150 mg bid cost (£) Dabigatran 150 mg bid QALYs ICER (£/QALY) Probability of cost effectiveness*
At £20 000 per QALY At £30 000 per QALY
RE-LY population 6480 6.390 9850 6.536 23 082 0.449 0.596
CHADS2 score 2 7412 6.283 10 443 6.433 20 207 0.475 0.615
CHADS2 score ≥3 9912 6.224 12 646 6.396 15 895 0.565 0.683
Centres’ time in therapeutic range ≥65.5% 6247 6.517 9977 6.605 42 386 0.137 0.309
Centres’ time in therapeutic range <65.5% 6617 6.261 9656 6.410 20 396 0.469 0.636
Patients’ time in therapeutic range ≥66.8% 6302 6.401 9850 6.536 26 281 0.393 0.511
Patients’ time in therapeutic range <66.8% 6694 6.360 9850 6.536 17 932 0.519 0.643
Creatinine clearance <30-50 mL/min 7991 6.310 10 788 6.460 18 647 0.501 0.631
Previous stroke or transient ischaemic attack 10 004 6.217 12 787 6.378 17 286 0.525 0.649
Vitamin K antagonist naive 6437 6.396 9792 6.545 22 517 0.446 0.587
Age ≥75 years 4612 4.275 7362 4.429 17 857 0.498 0.635

bid=twice daily; CHADS2=Congestive heart failure, Hypertension, Age≥75 years, Diabetes mellitus, previous Stroke/transient ischaemic attack; ICER=incremental cost effectiveness ratio; QALY=quality adjusted life year; RE-LY=Randomized Evaluation of Long-Term Anticoagulation Therapy.

*Proportion of simulations in which dabigatran 150 mg twice daily is cost effective versus warfarin.