Appendix Table 5.
Screening Strategy | Lifetime Cost, $† |
Quality- Adjusted Life-Years Accrued |
Incremental Cost- Effectiveness Ratio† |
---|---|---|---|
No screening | 52 540 | 14.1859 | NA |
SCORE −2.5 initiated at age 80 y with rescreening every 5 y | 52 710 | 14.1935 | 21 260 |
SCORE −2.5 initiated at age 70 y with rescreening every 10 y | 52 930 | 14.2008 | 31 170 |
QUS −1.0 initiated at age 60 y with rescreening every 10 y | 53 090 | 14.2042 | 46 380 |
SCORE −2.5 initiated at age 60 y with rescreening every 10 y | 53 190 | 14.2061 | 48 990 |
QUS −1.0 initiated at age 55 y with rescreening every 5 y | 53 400 | 14.2088 | 79 810 |
SCORE −2.5 initiated at age 55 y with rescreening every 5 y | 53 510 | 14.2097 | 127 650 |
DXA −2.5 initiated at age 55 y with rescreening every 5 y | 53 550 | 14.2099 | 151 080 |
DXA −2.0 initiated at age 55 y with rescreening every 10 y | 54 140 | 14.2121 | 269 880 |
DXA −1.5 initiated at age 55 y with rescreening every 10 y | 55 050 | 14.2132 | 831 330 |
DXA −1.5 initiated at age 55 y with rescreening every 5 y | 55 280 | 14.2133 | 2 849 790 |
DXA = dual-energy x-ray absorptiometry; NA = not applicable; QUS = quantitative ultrasonography; SCORE = Simple Calculated Osteoporosis Risk Estimation.
Strategies are described in Table 1. Costs are expressed in 2010 $US, and incremental cost-effectiveness ratios represent cost per quality-adjusted life-year gained for each strategy compared to the next less costly nondominated strategy.
Costs and incremental cost-effectiveness ratios are rounded off to the nearest 10.