Table 4.
Prostate and pancreas publication characteristics, estimated costs, and effectiveness.
Reference | Country | Publication year | Type of study | Procedures compared | Perspective | Cost types | Local currency | Procedures cost per patient | Effectiveness | ICER/ICUR/Cost analysis results |
---|---|---|---|---|---|---|---|---|---|---|
Parthan et al. (2012) | USA | 2012 | Cost-utility | SBRT IMRT PT |
Healthcare Payer/Societal | Direct/Direct plus indirect | USD |
Healthcare Payer: SBRT: $24,873; IMRT: $33,068; PT: $69,094 Societal: SBRT: $25,097; IMRT: $35,088; PT: $71,339 |
SBRT: 8.11 QALY IMRT: 8.05 QALY PT: 8.17 QALY |
SBRT dominates from both payer and societal perspectives |
Hodges et al. (2012) | USA | 2012 | Cost-utility | SBRT IMRT |
Healthcare Payer | Direct | USD | SBRT: $22,152 IMRT: $35,431 |
SBRT: 7.9 QALY IMRT: 7.9 QALY |
SBRT is cost saving |
Murphy et al. (2012) | USA | 2012 | Cost-utility | Gemcitabine alone Gemcitabine plus RT Gemcitabine plus IMRT Gemcitabine plus SBRT |
Healthcare Payer | Direct | USD | Gemcitabine alone: $42,900 Gemcitabine plus RT: $59,900 Gemcitabine plus IMRT: $69 Gemcitabine plus SBRT: $ 56,700 |
Gemcitabine alone: 0.581 QALY Gemcitabine plus RT: 0.714 QALY Gemcitabine plus IMRT: 0.721 QALY Gemcitabine plus SBRT: 0.778 QALY |
Gem. plus SBRT vs. Gem. alone: $69,500/QALY Gem. plus RT vs. Gem. alone: $126,800/QALY Gem. plus IMRT vs. Gem. plus RT: $1,584,100/QALY Gem. plus SBRT dominates both Gem. plus RT and Gem. plus IMRT |
RT, radiation therapy; SBRT, stereotactic body radiation therapy; PT, proton therapy; IMRT, intensity modulated radiation therapy; Gem, gemcitabine; USD, United States dollar; QALY, quality adjusted life years; ICER, incremental cost-effectiveness ratio; ICUR, incremental cost-utility ratio.