Table 3. The Net Benefits of Increased Aspirin Use Would Be Substantial ($2015 thousands).
Difference with Baseline | ||||
---|---|---|---|---|
Guideline Adherence* | Universal Eligibility** | |||
Mean | 95% CI | Mean | 95% CI | |
Value of expected quality-adjusted life-years gained | 14.2 | [4.71 to 25.13] | 19.9 | [7.46 to 34.23] |
Expected health-care and medication costs | ||||
Health care excluding gastrointestinal bleeds | 5.5 | [0.36 to 11.64] | 6.6 | [0.47 to 12.3] |
Gastrointestinal bleeds | 0.1 | [0.02 to 0.13] | 0.1 | [0.03 to 0.2] |
Aspirin medication | 0.1 | [0.06 to 0.06] | 0.1 | [0.1 to 0.1] |
Total | 5.7 | [0.51 to 11.77] | 6.8 | [0.69 to 12.54] |
Net value per capita | 8.5 | [3.06 to 16.64] | 13.0 | [5.74 to 22.65] |
Incremental cost-effectiveness ratio | 64.2 | [13.98 to 112.93] | 55.3 | [13.76 to 91.05] |
*: Individuals follow 2009 USPSTF guidelines for primary prevention of heart diseases and stroke until age 79 and use aspirin for secondary prevention at all ages
**: All individuals over age 50 are assigned to use aspirin daily. All amounts are in present value at age 51, computed with a 3% discount rate. Quality-adjusted life-years adjust length of life for quality based on a person’s chronic conditions and functional status. 95% confidence intervals with regard to the uncertainty of the effectiveness of aspirin are presented in brackets.