Table 2.
Two-way sensitivity analysis of DMOAD pain relief and suspended progression
| Suspended Progression |
Pain Relief | Treatment Strategy |
Avg. QALE |
Avg. Cost |
ICER | Proportion of Cohort Receiving Primary TKR |
|---|---|---|---|---|---|---|
| 50% |
Base Case 30% 15% overall‡ |
Standard of Care* | 14.21 | $115,800 | 52.37% | |
| SoC + DMOADs** | 14.25 | $118,100 | $57,500 | 44.35% | ||
|
40% 20% overall |
Standard of Care | 14.21 | $115,800 | 52.37% | ||
| SoC + DMOADs | 14.28 | $118,000 | $31,400 | 44.34% | ||
|
50% 25% overall |
Standard of Care | 14.21 | $115,800 | 52.37% | ||
| SoC + DMOADs | 14.32 | $118,000 | $20,000 | 44.33% | ||
| 60% |
30% 18% overall |
Standard of Care | 14.21 | $115,800 | 52.37% | |
| SoC + DMOADs | 14.26 | $118,400 | $52,000 | 42.82% | ||
|
40% 24% overall |
Standard of Care | 14.21 | $115,800 | 52.37% | ||
| SoC + DMOADs | 14.30 | $118,300 | $27,800 | 42.82% | ||
|
50% 30% overall |
Standard of Care | 14.21 | $115,800 | 52.37% | ||
| SoC + DMOADs | 14.35 | $118,200 | $17,100 | 42.83% | ||
| 70% |
30% 21% overall |
Standard of Care | 14.21 | $115,800 | 52.37% | |
| SoC + DMOADs | 14.28 | $118,600 | $40,000 | 41.31% | ||
|
40% 28% overall |
Standard of Care | 14.21 | $115,800 | 52.37% | ||
| SoC + DMOADs | 14.33 | $118,600 | $23,300 | 41.31% | ||
|
50% 35% overall |
Standard of Care | 14.21 | $115,800 | 52.37% | ||
| SoC + DMOADs | 14.38 | $118,500 | $15,900 | 41.31% |
Standard of care sequence: conservative pain management (NSAIDs, acetaminophen, physical therapy), corticosteroid injections, primary TKR, revision TKR
Standard of care + DMOADs sequence: conservative pain management, DMOADs, corticosteroid injections, primary TKR, revision TKR
Overall pain relief is calculated as (% pain relief given suspended progression) × (% suspended progression); the top row of this table corresponds with 30% pain relief given suspended progression, 50% suspended progression, and thus 15% overall pain relief.
Abbreviations: ICER, incremental cost-effectiveness ratio; TKR, total knee replacement; SoC, standard of care