Table 2.
Variable | Value Range | Cost per QALY Gained $ |
|
---|---|---|---|
Low Value | High Value | ||
Breast cancer costs | 50% to 150% of base-case values | 74 765 | 65 856 |
Incidence of invasive breast cancer | 70% to 130% of base-case values | 101 478 | 50 534 |
Invasive breast cancer mortality | 70% to 130% of base-case values | 86 857 | 58 467 |
Incidence of ductal carcinoma in situ | 50% to 150% of base-case values | 43 840 | 93 571 |
Mammography cost | $78 to $138 | 55 774 | 91 807 |
Disutility of invasive breast cancer | 50% to 150% of base-case values | 77 792 | 56 150 |
Proportion of false-positive mammography results | 1% to 10% | 54 015 | 98 566 |
Disutility of false-positive mammography results | 0 to 0.013 QALY | 72 184 | 118 798 |
Overdetection of invasive breast cancer | 0% to 10% | 72 184 | 108 432 |
Stage proportion change† | Local, 0.078 to 0.178; regional, −0.054 to −0.154 | 104 720 | 54 048 |
QALY = quality-adjusted life-year.
In patients aged 50–59 y with Breast Imaging Reporting and Data System category 1 breast density.
Proportions of local and regional breast cancer were changed by 0.05 in opposite directions, resulting in lower or higher stage shifts.