TABLE 3.
Costs and CE: Entire Cohort of Subjects
Cost SBAT | Cost UC | Cost Difference | Effect SBAT (SFD) | Effect UC (SFD) | Effect Difference (SFD) | ICER $/SFD | |
---|---|---|---|---|---|---|---|
Program costs | $4822 | $0 | $4822 | ||||
HC costs | $342 ($70) [224 to 503] | $719 ($234) [357 to 1309] | –$376 ($245) [–944 to 24] | ||||
Productivitya | $4893 ($516) [4089 to 6193] | $6813 ($555) [5867 to 8081] | –$1920 ($751) [–3354 to –347] | ||||
School costs | $2405 ($256) [2011 to 3049] | $3348 ($274) [2886 to 3966] | –$943 (371) [–1644 to –176] | ||||
Total costs | $12 463 ($790) [11 251 to 14 461] | $10 880 (909) [9235 to 12 772] | $1583(1198) [–663 to 4188] | 2556 (28) [2484 to 2597] | 2398 (34) [2325 to 2453] | 158 (45) [60 to 238] | 10 (13) [–4 to 46] |
Total direct costs | $4454 | — | — | 158 | 28 (15) [18 to 75] |
Costs and effects are shown as estimated mean per 30 days per 100 children (bootstrap SE), bootstrap [95% CI]. The cost of medication was not included in the analysis because all children with this level of asthma severity require medications (based on national guideline criteria) regardless of the study, and the vast majority of eligible children have drug coverage from Medicaid or the State Children’s Health Insurance Program.
We assumed that a parent missed a day from work for every day a child missed a day of school and that for every doctor appointment a parent had to take 2 hours from work; further, we assumed 1 day missed from work for each ED visit and 2 days for each hospitalization (1 for admission and 1 for discharge).