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. 2018 May 17;13(5):e0197670. doi: 10.1371/journal.pone.0197670

Table 3. Differences in effectiveness and costs between treatments, per patient in the first year of treatment.

The ICERs show that we pay €278,099 per QALY if we use aflibercept instead of bevacizumab and that ranibizumab is dominated by bevacizumab, meaning it is costlier, but does not yield health benefit.

Mean costs € (95-%CI) Difference in costs Δ€ Mean effectiveness QALY (95-%CI) Difference in effectiveness ΔQALY ICER Δ€/ΔQALY
Ranibizumab € 33,137 (28,883–37,926) € 6,050 0.69 (0.66–0.73) 0.000 Dominated
Aflibercept € 31,119 (26,979–35,766) € 4,032 0.71 (0.67–0.74) 0.015 € 278,099
Bevacizumab* € 27,087 (22,818–31,789) - 0.69 (0.66–0.73) - -

QALY = quality-adjusted life year; ICER = incremental costs-effectiveness ratio; 95%-CI = 95%-confidence interval;

*Bevacizumab is comparator.