Table 6. Cost Effectiveness Analyses.
Scenario/Analyses | Difference, adjusted forbaseline andparticipant/clustercovariates* Mean(95% CI) | ICER, Cost (£)per QALY | Probability Cost-effective at WTP‡per QALY gained: | |
£20,000 per QALY | £30,000 per QALY | |||
Base Case: | ||||
Total NHS and personal social services | £270.72(–202.98, 886.04) | |||
EQ-5D: QALY (12-month) | 0.019(–0.019, 0.06) | £14,248 | 0.58 | 0.65 |
Sensitivity Analyses: | ||||
(1) Base Case CEA, withmultiple imputation ofmissing data | ||||
Total NHS and personal social services | £292.08(–216.88, 801.04) | |||
EQ-5D: QALY (12-month) | 0.017(–0.020, 0.054) | £17.490 | N/A | N/A |
(2) CEA Using SF6D QALY data | ||||
SF6D: QALY (12-month) | 0.0168(0.000, 0.032) | £16,114 | 0.57 | 0.72 |
(3) CEA when excludingone high cost participant | ||||
Total NHS and personal social services | £63.34(–295.98, 422.67) | |||
EQ-5D: QALY (12-month) | 0.019(–0.018, 0.06) | £3,334 | 0.76 | 0.79 |
(4) CEA using higher costestimate for CollaborativeCare, at meancost of £338.80 | ||||
Total NHS and personal social services | £337.02(–136.67, 952.34) | £17,738 | 0.54 | 0.62 |
(5) CEA using a broaderperspective, including patientcosts and informalcare costs | –£312.83(–2,339.93, 2,035.27) | Collaborative Care is dominant** | N/A | N/A |
*Adjusting for baseline measures, and pre-specified covariates for age (individual level), and (at the cluster level) deprivation (IMD), site, and practice size.
**Dominance: lower expected costs, with greater expected QALY gain.
WTP = willingness to pay; based in the assessment of incremental net benefit statistic, and WTP thresholds commonly applied in the UK NHS (NICE, 2013).