Skip to main content
. 2017 Aug 22;5(3):E653–E661. doi: 10.9778/cmajo.20170042

Table 3: One-way sensitivity analyses, PIAAF-Pharmacy screening versus no screening (base case: incremental cost per QALY gained = $1175).

Variable Incremental cost, $ Incremental no. of QALYs Incremental cost/QALY gained, $
Cost of screening, $ (base case = $65)
    100 60 0.0035 17 195
    90 50 0.0035 14 325
    80 40 0.0035 11 455
    70 30 0.0035 8585
    60 20 0.0035 5715
    50 10 0.0035 2845
    40 -0 0.0035 Dominates
    30 -10 0.0035 Dominates
% of people with newly diagnosed atrial fibrillation who receive oral anticoagulant therapy (base case = 0.71)
    1.0 10 0.0049 2056
    0.9 16 0.0044 3562
    0.8 21 0.0039 5446
    0.7 27 0.0034 7867
    0.6 32 0.0029 11 096
    0.5 38 0.0024 15 616
    0.4 44 0.0020 22 397
    0.3 49 0.0015 33 697
    0.2 55 0.0010 56 298
    0.1 61 0.0005 124 101
Positive predictive value of single-lead electrocardiography (base case = 0.654)
    1.0 5 0.0053 911
    0.9 11 0.0048 2291
    0.8 17 0.0043 4015
    0.7 23 0.0037 6232
    0.6 29 0.0032 9189
    0.5 36 0.0027 13 327
    0.4 42 0.0021 19 535
    0.3 48 0.0016 29 882
    0.2 54 0.0011 50 575
    0.1 60 0.0005 112 656
% of people with undiagnosed atrial fibrillation in whom the disorder is diagnosed each year (base case = 0.03)
    0 20 0.0040 4951
    0.05 30 0.0032 9215
    0.1 36 0.0027 13 724
    0.2 45 0.0019 23 499
    0.3 50 0.0015 34 355
    0.4 53 0.0011 46 475
    0.5 56 0.0009 60 186
Time horizon, yr (base case = lifetime)
    5 36 0.0010 37 226
    10 25 0.0023 10 657
    15 25 0.0031 7800
    20 26 0.0034 7490
    25 26 0.0035 7480
Annual rate of discontinuation of oral anticoagulant therapy (base case = 10%)
    0 1 0.005 232
    0.1 26 0.003 7480
    0.2 38 0.002 15 480
    0.3 45 0.002 24 333
    0.4 50 0.001 34 208
    0.5 53 0.001 45 382
Alternative stroke costs 46 0.003 13 277
Warfarin represents 100% of orally administered anticoagulants* 17 0.003 5985
Direct oral anticoagulant therapy represents 100% of orally administered anticoagulants† 36 0.004 8611

Note: PIAAF-Pharmacy = Program for the Identification of 'Actionable' Atrial Fibrillation in the Pharmacy Setting, QALY = quality-adjusted life-year.

*Base case: 52%.

†Base case: 48%.