Table 1.
Author | Comparators | Perspective | Model structure | Analysis type | Time horizon (base case analysis) | Primary outcome | Target population | Source of effectiveness data | Source of economic data and price year | Sensitivity analysis |
---|---|---|---|---|---|---|---|---|---|---|
Fox et al. [11] | CRT-D vs OPT CRT-P vs OPT CRT-D vs CRT-P |
Payer (United Kingdom, NHS) | Markov model | CEA and CUA | Lifetime horizon | Life years QALYs |
HF patients with LVSD (EF < 35 %) NYHA class III or IV and QRS interval > 120 ms | CARE-HF [2] (CRT-P vs OPT) | UK NHS, literature and expert opinion (2006) | Univariate sensitivity on key variables: probabilistic sensitivity analysis |
Yao et al. [12] | CRT-D vs OPT CRT-P vs OPT CRT-D vs CRT-P |
Payer (UK NHS) | Markov model | CEA and CUA | Lifetime horizon | Life years QALYs |
HF patients with LVSD (EF < 35 %) NYHA class II, III or IV LVEF of 30 mm (indexed to height), QRS interval > 120 ms |
CARE-HF [2] (CRT-P vs OPT) | UK NHS, 2005 | Univariate sensitivity on all variables: probabilistic sensitivity analysis |
Aidelsburger et al. [13] | CRT-D vs OPT | Payer (German HCS) | Decision tree and Markov model | CEA and CUA | 2 years | Life years QALYs and hospitalisations |
HF patients with NYHA class III or IV |
COMPANION [1] (CRT-P vs CRT-D) | German HCS, 2005 | Univariate sensitivity on key variables: probabilistic sensitivity analysis not reported |
Bond et al. [14] | CRT-D vs OPT CRT-D vs CRT-P |
Payer (United Kingdom, NHS) | Markov model | CUA | Lifetime horizon | QALYs | HF patients with LVSD (EF < 35 %) NYHA class III or IV and QRS interval > 120 ms |
CARE-HF [2] | Univariate sensitivity on key variables: probabilistic sensitivity analysis | |
Callejo et al. [15] | OPT vs CRT-P vs CRT-D | Payer (Spanish, PHCS) | Decision tree and Markov model | CEA and CUA | Lifetime horizon | Life years QALYs |
HF patients with NYHA class II, III or IV and prolonged QRS | CARE-HF [2] (CRT-P vs OPT) | Spanish HCS, 2009 | Univariate sensitivity on all variables: probabilistic sensitivity analysis |
Bertoldi et al. [16] | CRT-D vs OPT CRT-P vs OPT ICD vs OPT CRT-D vs CRT-P CRT-D vs ICD |
Payer (Brazilian HCS) | Decision tree and Markov model | CEA and CUA | 20 years | Life years QALYs |
HF patients with LVSD (EF < 35 %) NYHA class II, III or IV prolonged QRS |
Meta-analysis | Brazilian HCS, 2011 | Univariate sensitivity on all variables: probabilistic sensitivity analysis |
Neyt et al. [17] | CRT-P vs OPT CRT-D vs CRT-P |
Payer (Belgian HCS) | Decision tree and Markov model | CEA and CUA | Lifetime horizon | Life years QALYs | HF patients with LVSD (EF ≤ 35 %) NYHA class III or IV prolonged QRS |
COMPANION [1] (CRT-P vs CRT-D) | Belgian HCS, 2010 | No univariate sensitivity results reported; Scenario analysis on mortalities, hospitalisations, discount rates and device service life: probabilistic sensitivity analysis |
Colquitt et al. [18] | CRT-D vs OPT CRT-P vs OPT CRT-D vs CRT-P CRT-D vs ICD |
Payer (United Kingdom, NHS) | Markov model | CEA and CUA | Lifetime horizon | Life years QALYs |
HF patients with reduced LVSD and cardiac dyssynchrony despite OPT Patients at increased risk of SCD as a result of ventricular arrhythmias despite receiving OPT |
CARE-HF [2] (CRT-P vs OPT); MADIT-CRT [21] (CRT-D vs ICD); RAFT (CRT-D vs ICD) | UK NHS, literature and expert opinion (2013) | Univariate sensitivity on key variables: probabilistic sensitivity analysis |
CRT-P implantable cardiac resynchronization therapy device with a biventricular pacemaker, CRT-D cardiac resynchronization therapy device with the addition of an implantable cardioverter-defibrillator, OPT optimal drug therapy, ICD implantable cardioverter-defibrillator, NHS National Health Service, HCS health care system, PHCS public health care system, CEA cost-effectiveness analysis, CUA cost utility analysis, QALYs quality of life adjusted life years, HF heart failure, LVSD left ventricular systolic dysfunction, NYHA New York Heart Association functional classification, SCD sudden cardiac death, LVEF left ventricular ejection fraction