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. Author manuscript; available in PMC: 2016 Dec 8.
Published in final edited form as: JAMA Intern Med. 2016 Jan;176(1):65–73. doi: 10.1001/jamainternmed.2015.6011

Table.

Base-Case Results of HCV Treatment

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.

a

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.

b

Generated by comparing each policy with the one above (next least expensive).

c

Indicates wait and treat only when patients reach stages F3 and F4.

d

Indicates treat all patients as soon as they are identified with HCV in any fibrosis stage.