Table 23:
Intervention | Average Total Costs, $ | Average Total Effects, QALYs | Incremental Cost, $ | Incremental Effect, QALYs | ICER $/QALY |
---|---|---|---|---|---|
30% CGM Device Cost Reduction | |||||
Standalone CGM plus multiple daily injections vs. SMBG plus multiple daily injections | |||||
SMBG + MDI | 125,586 | 18.812 | |||
CGM + MDI | 197,492 | 18.906 | 71,906 | 0.094 | 767,913 |
Sensor-augmented pump vs. SMBG plus multiple daily injections | |||||
SMBG + MDI | 125,586 | 18.812 | |||
SAP | 229,777 | 18.944 | 104,191 | 0.132 | 791,249 |
Standalone CGM plus insulin pump vs. SMBG plus insulin pump | |||||
SMBG + insulin pump | 177,320 | 18.812 | |||
CGM + insulin pump | 229,483 | 18.916 | 52,163 | 0.104 | 503,786 |
Sensor-augmented pump vs. SMBG plus insulin pump | |||||
SMBG + insulin pump | 177,320 | 18.812 | |||
SAP | 229,831 | 18.949 | 52,511 | 0.137 | 383,667 |
20% CGM Device Cost Reduction | |||||
Standalone CGM plus multiple daily injections vs. SMBG plus multiple daily injections | |||||
SMBG + MDI | 125,586 | 18.812 | |||
CGM + MDI | 208,132 | 18.906 | 82,546 | 0.094 | 881,546 |
Sensor-augmented pump vs. SMBG plus multiple daily injections | |||||
SMBG + MDI | 125,586 | 18.812 | |||
SAP | 239,287 | 18.944 | 113,700 | 0.132 | 863,469 |
Standalone CGM plus insulin pump vs. SMBG plus insulin pump | |||||
SMBG + insulin pump | 177,320 | 18.812 | |||
CGM + insulin pump | 238,971 | 18.916 | 61,651 | 0.104 | 595,419 |
Sensor-augmented pump vs. SMBG plus insulin pump | |||||
SMBG + insulin pump | 177,320 | 18.812 | |||
SAP | 239,345 | 18.949 | 62,024 | 0.137 | 453,180 |
10% CGM Device Cost Reduction | |||||
Standalone CGM plus multiple daily injections vs. SMBG plus multiple daily injections | |||||
SMBG + MDI | 125,586 | 18.812 | |||
CGM + MDI | 218,773 | 18.906 | 93,187 | 0.094 | 995,179 |
Sensor-augmented pump vs. SMBG plus multiple daily injections | |||||
SMBG + MDI | 125,586 | 18.812 | |||
SAP | 248,796 | 18.944 | 123,210 | 0.132 | 935,689 |
Standalone CGM plus insulin pump vs. SMBG plus insulin pump | |||||
SMBG + insulin pump | 177,320 | 18.812 | |||
CGM + insulin pump | 248,459 | 18.916 | 71,139 | 0.104 | 687,053 |
Sensor-augmented pump vs. SMBG plus insulin pump | |||||
SMBG + insulin pump | 177,320 | 18.812 | |||
SAP | 248,859 | 18.949 | 71,538 | 0.137 | 522,693 |
Abbreviations: CGM, continuous glucose monitoring; MDI, multiple daily injections; QALY, quality-adjusted life-years; SAP, sensor-augmented pump; SMBG, self-monitoring of blood glucose.