Table 2.
Parameter | Cost (2015 USD)
|
ΔC | Effectiveness (QALYs)
|
ΔE | ICER (USD/QALY gained) | NHBa (QALYs) | NMBa (2015 USD) | ||
---|---|---|---|---|---|---|---|---|---|
Conventional | Raloxifene | Conventional | Raloxifene | ||||||
Base case | 5,114 | 5,336 | 221 | 8.7306 | 8.7366 | 0.0060 | 36,891 | −0.0051 | −101.34 |
Discount rate: 0 | 7,091 | 7,368 | 277 | 10.9581 | 10.9672 | 0.0091 | 30,445 | −0.0048 | −95.05 |
Discount rate: 0.05 | 4,255 | 4,448 | 193 | 7.6814 | 7.6860 | 0.0046 | 42,005 | −0.0051 | −101.22 |
No residual effects after medication discontinuation | 5,114 | 5,336 | 221 | 8.7139 | 8.7179 | 0.0040 | 55,336 | −0.0071 | −141.34 |
0.8 times raloxifene efficacy | 5,114 | 5,336 | 221 | 8.7306 | 8.7302 | −0.0004 | −553,360 | −0.0115 | −229.34 |
1.2 times raloxifene efficacy | 5,114 | 5,336 | 221 | 8.7306 | 8.7472 | 0.0166 | 13,334 | 0.0055 | 110.66 |
0.8 times raloxifene persistence | 5,114 | 5,171 | 57 | 8.7202 | 8.7203 | 0.0001 | 565,640 | −0.0027 | −54.56 |
1.2 times raloxifene persistence | 5,114 | 5,567 | 453 | 8.7565 | 8.7724 | 0.0159 | 28,476 | −0.0067 | −134.76 |
0.8 times raloxifene adherence | 5,114 | 5,326 | 211 | 8.7306 | 8.7315 | 0.0009 | 234,851 | −0.0097 | −193.37 |
1.2 times raloxifene adherence | 5,114 | 5,346 | 231 | 8.7306 | 8.7426 | 0.0120 | 19,268 | 0.0004 | 8.79 |
Treatment duration: 2 years | 4,926 | 4,958 | 32 | 8.7306 | 8.7361 | 0.0055 | 5,805 | 0.0039 | 78.07 |
Treatment duration: 10 years | 4,926 | 4,958 | 32 | 8.7306 | 8.7373 | 0.0067 | 4,765 | 0.0051 | 102.07 |
0.8 times annual fracture rates | 4,157 | 4,343 | 186 | 9.0458 | 9.0497 | 0.0039 | 47,677 | −0.0054 | −107.94 |
1.2 times annual fracture rates | 6,051 | 6,309 | 258 | 8.4288 | 8.4365 | 0.0077 | 33,452 | −0.0052 | −103.58 |
0.8 times fracture inpatient costs | 4,286 | 4,512 | 226 | 8.7306 | 8.7366 | 0.0060 | 37,730 | −0.0053 | −106.38 |
1.2 times fracture inpatient costs | 5,943 | 6,159 | 216 | 8.7306 | 8.7366 | 0.0060 | 36,051 | −0.0048 | −96.31 |
0.8 times nursing home costs | 4,972 | 5,192 | 221 | 8.7306 | 8.7366 | 0.0060 | 36,756 | −0.0050 | −100.54 |
1.2 times nursing home costs | 5,257 | 5,479 | 222 | 8.7306 | 8.7366 | 0.0060 | 37,025 | −0.0051 | −102.15 |
0.8 times annual raloxifene costs | 5,114 | 5,235 | 121 | 8.7306 | 8.7366 | 0.0060 | 20,193 | −0.0001 | −1.16 |
1.2 times annual raloxifene costs | 5,114 | 5,436 | 322 | 8.7306 | 8.7366 | 0.0060 | 53,588 | −0.0101 | −201.53 |
0.8 times base case HSUV | 5,114 | 5,336 | 221 | 6.8554 | 6.8607 | 0.0053 | 41,763 | −0.0058 | −115.34 |
1.2 times base case HSUV | 5,114 | 5,336 | 221 | 10.6890 | 10.6953 | 0.0063 | 35,134 | −0.0048 | −95.34 |
Initial population age: 70 years | 4,514 | 4,686 | 173 | 7.1923 | 7.1981 | 0.0058 | 29,768 | −0.0028 | −56.65 |
Initial population age: 75 years | 3,870 | 4,006 | 136 | 5.6785 | 5.6832 | 0.0047 | 28,958 | −0.0021 | −42.10 |
Initial population age: 80 years | 3,159 | 3,272 | 113 | 4.3061 | 4.3110 | 0.0049 | 23,084 | −0.0008 | −15.11 |
Note:
Willingness-to-pay threshold is set at USD 20,000 per QALY gained.
Abbreviations: USD, United States Dollars; QALY, quality-adjusted life year; ICER, incremental cost-effectiveness ratio; ΔC, incremental costs; ΔE, incremental effectiveness; NHB, net health benefit; NMB, net monetary benefit; HSUV, health-state utility value.