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. 2018 Jan 12;35(3):209–219. doi: 10.1002/da.22714

Table 3.

Differences in mean adjusted costs (€, 2014) and effects (95% confidence intervals), incremental cost‐effectiveness ratios, and distribution of incremental cost‐effect pairs on the cost‐effectiveness planes

Analysis ΔC (95% CI) ΔE (95% CI) ICER Distribution on CE Planeb (%)
Outcome Points €/Point NE SE SW NW
Main analysis
8 weeks (n = 763)
CES‐D 400 (92; 705) 1.79 (− .12; 3.70) 224 96 1 0 3
Response 400 (92; 705) .10 (.03; .17) 3,903 98 1 0 1
QALYs 400 (92; 705) .01 (.00; .01) 81,155 98 1 0 1
6 months (= 1,163)
CES‐D 211 (− 355; 787) 2.17 (.70; 3.64) 97 74 26 0 0
Response 211 (− 355; 787) .07 (.01; .13) 3,158 73 26 0 1
QALYs 211 (− 355; 787) .01 (− .00; .02) 32,706 65 24 2 9
12 months (n = 906)
CES‐D 406 (− 611; 1,444) 1.75 (− .09; 3.60) 232 72 25 1 3
Response 406 (− 611; 1,444) .06 (− .02; .13) 7,079 68 24 2 6
QALYs 406 (− 611; 1,444) −.00 (− .03; .03) −1,122,646 33 16 9 42
Sensitivity analysisa
SA1: Human capital approach
CES‐D 1,328 (− 32; 2,716) 1.75 (− .09; 3.60) 758 90 6 0 3
Response 1,328 (− 32; 2,716) .06 (− .02; .13) 23,140 87 6 0 7
QALYs 1,328 (− 32; 2,716) −.00 (− .03; .03) −23,210,980 45 5 2 49
SA2: National healthcare provider
CES‐D 442 (117; 824) 1.76 (− .09; 3.60) 251 95 2 0 3
Response 442 (117; 824) .06 (− .02; .13) 7,698 91 2 0 7
QALYs 442 (117; 824) −.00 (− .03; .03) −1,220,857 47 1 1 51
SA3: Increased costs by 25%
CES‐D 508 (− 764; 1,808) 1.75 (− .09; 3.60) 289 72 25 1 3
Response 508 (− 764; 1,808) .06 (− .02; .13) 8,848 69 24 2 6
QALYs 508 (− 764; 1,808) −.00 (− .03; .03) −1,403,308 33 16 9 42
SA4: Decreased costs by 25%
CES‐D 305 (− 458; 1,082) 1.75 (− .09; 3.60) 174 72 25 1 3
Response 305 (− 458; 1,082) .06 (− .02; .13) 5,039 69 24 2 6
QALYs 305 (− 458; 1,082) −.00 (− .03; .03) −841,985 33 16 9 42
SA5: Complete case (n = 482)
CES‐D −62 (− 1,304; 1,202) 2.7 (.92; 4.62) −23 47 53 0 0
Response −62 (− 1,304; 1,202) .12 (.03; .20) −539 47 53 0 0
QALYs −62 (− 1,304; 1,202) .01 (− .01; .03) −8,365 31 42 11 17
SA6: Per protocol (n = 681)
CES‐D 279 (− 935; 1,524) 2.36 (.41; 4.62) 118 66 34 0 1
Response 279 (− 935; 1,524) .07 (− .02; .16) 4,070 62 32 2 5
QALYs 279 (− 935; 1,524) .01 (− .02; .03) 39,102 44 28 6 22
SA7: Recruited from general populationc (n = 663)
CES‐D 59 (− 673; 750) 3.17 (1.84; 4.51) 18 55 45 0 0
Response 59 (− 673; 750) 12 (.05; .18) 504 55 45 0 0
QALYs 59 (− 673; 750) .01 (− .01; .02) 15,437 39 34 11 16
SA8: Reliable change index 406 (− 611; 1,444) .07 (− .01; .14) 5,971 71 26 1 3

Notes: CES‐D = Center for Epidemiologic Studies Depression Scale (range:0‐6‐); QALYs = Quality‐Adjusted Life‐years (range: 0–1); ΔC = Mean difference in costs; ΔE = Mean difference in effects.

a

Sensitivity analyses conducted at 12‐month follow‐up. N = 906 unless otherwise specified.

b

The northeast (NE) quadrant of the CE plane indicates that the Internet‐based intervention is more effective and more expensive than the control condition; The southeast (SE) quadrant of the CE plane indicates that the Internet‐based intervention is more effective and less expensive than the control condition; The southwest (SW) quadrant of the CE plane indicates that the Internet‐based intervention is less effective and more expensive than the control condition; The northwest (NW) quadrant indicates that the Internet‐based intervention is less effective and more expensive than the control condition.

c

This sensitivity analysis was conducted at 6 months follow‐up because at 12 months only one study was conducted in primary care