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. 2016 Mar 29;10:415–423. doi: 10.2147/PPA.S100175

Table 2.

Results of base case and one-way sensitivity analyses

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:

a

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.