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. 2015 Oct 27;2015:917567. doi: 10.1155/2015/917567

(b).

Scenarios ICER MMF versus AZA (US$)
Base-case (40-year time horizon) $6,454.24
Excluding indirect costs Dominanta
Utility
 Remission 0.8 (versus base-case 0.7) $4067.55
 Relapse 0.5 (versus base-case 0.6) $5,808.27
 Relapse 0.7 (versus base-case 0.6) $7,695.58
Increase in probability of ESRD with relapse
 0.5% per year $4590.37
 1.0% per year $3112.96
 2.0% per year $2717.08
Extrapolated treatment effect after 3-year maintenance therapy
 Same as during treatment phase (base-case) $6,454.24
 No treatment effect from both MMF and AZA during extrapolated phaseb $428,894.16
 Treatment effect from both MMF and AZA decreases 1% per yearc $15,096.38
 Treatment effect from both MMF and AZA decreases 2% per yearc $25,713.36
Time horizon (number of years after maintenance therapy)
 5 years $513,712.88
 10 years $67,203.94
 20 years Dominanta
 30 years $5,232.11
Discount rate (base-case 3% for costs and utility)
 0% $5,830.11
 5% $10,230.91
 7% $14,374.62

ICER: incremental cost effectiveness ratio; AZA: azathioprine; MMF: mycophenolate mofetil; ESRD: end stage renal disease.

aMMF is less costly and more effective than AZA-based regimen.

bAssuming 100% probability of relapse during remission on either MMF or AZA after completing 3-year maintenance therapy.

cAssuming 1% or 2% per year increase in relapse during remission on either MMF or AZA after completing 3-year maintenance therapy.