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. Author manuscript; available in PMC: 2015 Dec 17.
Published in final edited form as: Obstet Gynecol. 2014 May;123(5):929–937. doi: 10.1097/AOG.0000000000000124

Table 3.

Baseline Cost-Effectiveness Results*

Strategy Total Cost
(Millions)
Incremental
Cost (Millions)
Total QALY
(Life-Years)
Incremental
QALY
Incremental Cost-
Effectiveness Ratio
No intervention 246.1 −301.8 187,750,960 −42,240 7,146.0
Infant vaccination only 504.9 −43.0 187,786,320 −6,880 6,250.0
Sequential HBeAg testing 544.6 −3.3 187,796,280 3,080 Cost-saving
Current recommendation 547.9 187,793,200 Reference
Sequential HBV load testing 108
copies/mL or greater as cutoff
551.2 3.3 187,795,280 2,080 1,582.7
Sequential HBV load testing 106
copies/mL or greater as cutoff
555.9 8.0 187,796,640 3,440 2,339.2

QALY, quality-adjusted life years; HBeAg, hepatitis B e antigen; HBV, hepatitis B virus.

A negative incremental cost means less cost; a negative incremental QALY saved means fewer QALYs gained.

*

Based on a hypothetical 2010 birth cohort of 4 million neonates and 2010 U.S. dollars, both costs and QALYs were discounted at a 3% annual rate. A negative incremental cost means less cost; a negative incremental QALY saved means fewer QALYs gained.