Table 3.
Costs, DALYs averted and incremental cost effectiveness ratios (ICER) for devices used to detect pre-eclampsia.
| Device | Total cost of intervention |
Incremental cost |
DALYs | Incremental effectiveness (DALYs averted) |
ICER (cost per DALY gained) |
|---|---|---|---|---|---|
| Baseline (no screening) | 0.080 | 0.05137 | |||
| Microlife, Uristik | 0.305 | 0.2243 | 0.04898 | 0.00240 | 94 |
| Nissei (low), Uristik | 0.322 | 0.0174 | 0.04896 | 0.00002 | 829 |
| Nissei (high), Uristik | 0.339 | 0.0173 | 0.04896 | 0.00000 | * |
| Sphygmo (low), Uristik | 0.369 | 0.0467 | 0.04883 | 0.00013 | 368 |
| Sphygmo (high), Uristik | 0.384 | 0.0153 | 0.04883 | 0.00000 | * |
| Microlife, Multistix | 0.452 | 0.0828 | 0.05045 | −0.00162 | * |
| Sphygmo (low), Multistix | 0.457 | 0.0883 | 0.05039 | −0.00156 | * |
| Nissei (low), Multistix | 0.458 | 0.0895 | 0.05044 | −0.00161 | * |
| Nissei (high), Multistix | 0.476 | 0.1068 | 0.05044 | −0.00161 | * |
| Spot Vital Signs (low), Uristik | 0.481 | 0.1123 | 0.04892 | −0.00009 | * |
| Spot Vital Signs (high), Uristik | 0.553 | 0.1837 | 0.04892 | −0.00009 | * |
| Sphygmo (high), Multistix | 0.567 | 0.1981 | 0.05039 | −0.00156 | * |
| Spot Vital Signs (low), Multistix | 0.686 | 0.3171 | 0.05042 | −0.00160 | * |
| Nissei (low), CLINITEK(low) | 0.716 | 0.3472 | 0.04798 | 0.00085 | 408 |
| Nissei (low), CLINITEK(high) | 0.724 | 0.0084 | 0.04798 | 0.00000 | * |
| Microlife, CLINITEK(low) | 0.731 | 0.0150 | 0.04801 | −0.00003 | * |
| Nissei (high), CLINITEK(low) | 0.733 | 0.0173 | 0.04798 | 0.00000 | * |
| Nissei (high), CLINITEK(high) | 0.742 | 0.0257 | 0.04798 | 0.00000 | * |
| Spot Vital Signs (high), Multistix | 0.757 | 0.0413 | 0.05042 | −0.00245 | * |
| Microlife, CLINITEK | 0.758 | 0.0418 | 0.04801 | −0.00003 | * |
| Sphygmo (low), CLINITEK(low) | 0.903 | 0.1867 | 0.04780 | 0.00018 | 1055 |
| Sphygmo (low), CLINITEK(high) | 0.914 | 0.0112 | 0.04780 | 0.00000 | * |
| Sphygmo (high), CLINITEK(low) | 0.918 | 0.0153 | 0.04780 | 0.00000 | * |
| Sphygmo (high), CLINITEK(high) | 0.929 | 0.0265 | 0.04780 | 0.00000 | * |
| Nissei (low), DCA 2000+ | 0.948 | 0.0453 | 0.04784 | −0.00004 | * |
| Nissei (high), DCA 2000+ | 0.965 | 0.0627 | 0.04784 | −0.00004 | * |
| Microlife, DCA 2000+ | 0.976 | 0.0738 | 0.04787 | −0.00007 | * |
| Spot Vital Signs (low), CLINITEK(low) | 1.082 | 0.1792 | 0.04793 | −0.00013 | * |
| Spot Vital Signs (low), CLINITEK(high) | 1.094 | 0.1917 | 0.04793 | −0.00013 | * |
| Spot Vital Signs (high), CLINITEK(low) | 1.153 | 0.2506 | 0.04793 | −0.00013 | * |
| Spot Vital Signs (high), CLINITEK(high) | 1.166 | 0.2631 | 0.04793 | −0.00013 | * |
| Sphygmo (low), DCA 2000+ | 1.199 | 0.2959 | 0.04765 | 0.00015 | 2026 |
| Sphygmo (high), DCA 2000+ | 1.214 | 0.0153 | 0.04765 | 0.00000 | * |
| Spot Vital Signs (low), DCA 2000+ | 1.404 | 0.2057 | 0.04779 | −0.00013 | * |
| Spot Vital Signs (high), DCA 2000+ | 1.476 | 0.2771 | 0.04779 | −0.00013 | * |
Notes: Costs in US 2015 dollars. ICERs from decision tree simulation where testing rate is not 100%. Devices ordered by cost of intervention. Effectiveness calculated relative to scenario with no pre-eclampsia. Baseline scenario has no access to diagnostic testing or clinical management (see text).
Asterisk (*) indicates that ICER is not applicable due to dominance by prior strategy. These rows are skipped in calculating incremental costs and effectiveness in subsequent rows.
Italics indicates extended dominance; see text.