Table 2.
Strategy | Total cost per person ($) |
Total QALY per person |
Incremental cost per person ($) |
Incremental QALY per person |
Incremental cost-effectiveness ratio ($/QALY) |
|
---|---|---|---|---|---|---|
Base Case Scenario: 3 linkage models | ||||||
Base Case Results | ||||||
No Intervention | 129, 800 | 6.922 | --- | --- | --- | |
Control Strategy | 139, 900 | 7.299 | 10, 100 | 0.377 | dominated | |
Intervention | 147, 200 | 7.627 | 7, 300 | 0.328 | 24, 600 | |
Quality of Life Minimum Estimator Scenario | ||||||
No Intervention | 129, 800 | 7.310 | --- | --- | --- | |
Control Strategy | 139, 900 | 7.602 | 10, 100 | 0.293 | dominated | |
Intervention | 147, 200 | 7.852 | 7, 300 | 0.250 | 29,200 | |
Early Stage Disease Treatment Restriction Scenarioa | ||||||
No Intervention | 129,300 | 6.912 | --- | --- | --- | |
Control Strategy | 138, 900 | 7.264 | 9,600 | 0.352 | dominated | |
Intervention | 145, 600 | 7.569 | 6, 700 | 0.305 | 24,800 | |
Scenario Analysis: 4 linkage models | ||||||
Base Case Results | ||||||
No Intervention | 129, 800 | 6.923 | --- | --- | --- | |
Control Strategy | 139, 900 | 7.299 | 10, 100 | 0.377 | dominated | |
HCV Only Strategy | 146,900 | 7.624 | 7, 000 | 0.324 | 24, 400 | |
Intervention | 147,200 | 7.627 | 300 | 0.003 | 76,500 | |
Quality of Life Minimum Estimator Scenario | ||||||
No Intervention | 129, 800 | 7.310 | --- | --- | --- | |
Control Strategy | 139, 900 | 7.602 | 10, 100 | 0.292 | dominated | |
HCV Only Strategy | 146,900 | 7.849 | 7, 000 | 0.247 | 31,700 | |
Intervention | 147,200 | 7.852 | 300 | 0.003 | 88,300 | |
Early Stage Disease Treatment Restriction Scenarioa | ||||||
No Intervention | 129, 300 | 6.912 | --- | --- | --- | |
Control Strategy | 138, 800 | 7.264 | 9,500 | 0.352 | dominated | |
HCV Only Strategy | 145, 300 | 7.565 | 6,500 | 0.302 | 24,500 | |
Intervention | 145, 600 | 7.569 | 300 | 0.003 | 81,000 |
QALY = Quality-Adjusted Life Year
Note: all costs are in 2015 US dollars.
Early treatment restriction represents delaying access to HCV treatment medication until developing cirrhosis (F3 metavir liver staging)