Table.
Combined Sofosbuvir and Ledipasvir Treatment Strategya |
Base-Case Results | ||||
---|---|---|---|---|---|
Costs, $ | QALYs | ICER, $ per QALY Gainedb |
|||
Total Treatment |
Incremental | Total | Incremental Gain |
||
Treat all vs treat at stages F3 and F4 | |||||
Treat at stage F3 or stage F4c | 60 906 | NA | 14.09 | NA | NA |
Treat alld | 89 804 | 28 899 | 14.82 | 0.73 | 39 475 |
By fibrosis stage | |||||
No treatment | 46 107 | NA | 11.82 | NA | NA |
Treat at stage F4 | 57 616 | 11 509 | 12.85 | 1.02 | 11 252 |
Treat at stage F3 | 60 906 | 14 798 | 14.09 | 2.27 | 6522 |
Treat at stage F2 | 71 913 | 11 007 | 14.65 | 0.55 | 19 833 |
Treat at stage F1 | 83 594 | 11 682 | 14.79 | 0.14 | 81 165 |
Treat all | 89 804 | 6210 | 14.82 | 0.03 | 187 065 |
Abbreviations: HCV, hepatitis C virus; ICER, incremental cost-effectiveness ratio; NA, not applicable; QALY, quality-adjusted life-year.
Sixty-seven percent of the patients with fibrosis stages F0 to F3 received 8 weeks of treatment and 33%received 12 weeks; all patients with stage F4 received 12 weeks.
Generated by comparing each policy with the one above (next least expensive).
Indicates wait and treat only when patients reach stages F3 and F4.
Indicates treat all patients as soon as they are identified with HCV in any fibrosis stage.