Table 5. Sensitivity analyses (QALYs).
Analysis | Acupuncture vs. usual care | Alexander lessons vs. usual care | |||||
---|---|---|---|---|---|---|---|
Sample size | Incremental cost (£) | QALYs gained | ICER (£) | Incremental cost (£) | QALYs gained | ICER (£) | |
Base case | 293 | 451.32a | 0.032b | 18,767/QALY | 667.24a | 0.025b | 25,101/QALY |
(285.29 to 634.83) | (0.001 to 0.062) | (4,426 to 74,562)c | (472.28 to 896.42) | (-0.007 to 0.058) | (-150,208 to 248,697)c | ||
Inclusion of societal costs | 293 | 509.44d | 0.032b | 20,151/QALY | 861.70 d | 0.025b | 35,552/QALY |
(252.11 to 775.93) | (0.001 to 0.062) | (3,659 to 86,635)e | (491.52 to 1286.13) | (-0.007 to 0.058) | (-172,253 to 329,091)e | ||
Including only healthcare costs relating to neck pain | 293 | 375.46a | 0.032b | 15,364/QALY | 576.81a | 0.025b | 20,065/QALY |
(328.58 to 425.78) | (0.001 to 0.062) | (4,156 to 56,763)c | (522.85 to 627.61) | (-0.007 to 0.058) | (-112,735 to 241,192)c | ||
Imputation of QALYs and cost | 507f | 690.02a | 0.019b | 43,838/QALY | 884.41a | 0.010b | 121,269/QALY |
(516.39 to 894.26) | (-0.005 to 0.044) | (-216,427 to 395,047)c | (727.87 to 1059.61) | (-0.014 to 0.034) | (-854,671 to 1,014,592)c |
aAdjusted for baseline NHS healthcare costs and practice size. 95% non-parametric bias-corrected confidence intervals based on 1,000 bootstrap replications.
b Adjusted for baseline EQ-5D index score and practice size. 95% non-parametric bias-corrected confidence intervals based on 1,000 bootstrap replications.
cBased on 1000 bootstrap cost-effect pairs. Adjusted for baseline EQ-5D, baseline healthcare costs and practice size
dAdjusted for baseline societal healthcare costs and practice size. 95% non-parametric bias-corrected confidence intervals based on 1,000 bootstrap replications.
e Based on 1000 bootstrap cost-effect pairs. Adjusted for baseline EQ-5D, baseline societal costs and practice size
fExcluding 2 participants who died