Table 2.
Cost-effectiveness of 10TT under different MNAR assumptions for missing cost and effectiveness quality-of-life data
Scenario description | Incremental cost (£) [95% CI] | Incremental QALYs [95% CI] | INMBa (£) [95% CI] | Probability cost-effectivea (%) |
---|---|---|---|---|
MAR | − 35 [− 504 to 434] | − 0.004 [− 0.074 to 0.066] | − 49 [− 1632 to 1534] | 48 |
Same MNAR parametersb in the two arms | ||||
− 10% QoL in both arms | − 35 [− 504 to 434] | − 0.011 [− 0.078 to 0.057] | − 181 [− 1714 to 1352] | 41 |
+ 10% cost in both arms | − 25 [− 512 to 462] | − 0.004 [− 0.074 to 0.066] | − 59 [− 1650 to 1532] | 47 |
− 10% QoL and + 10% cost | − 25 [− 512 to 462] | − 0.011 [− 0.078 to 0.057] | − 191 [− 1733 to 1350] | 40 |
Different MNAR parametersb in the two arms | ||||
− 10% QoL in intervention arm | − 35 [− 504 to 434] | − 0.071 [− 0.139 to − 0.002] | − 1378 [− 2932 to 176] | 4 |
− 10% QoL in control arm | − 35 [− 504 to 434] | 0.056 [− 0.014 to 0.125] | 1148 [− 415 to 2711] | 93 |
+ 10% cost in intervention arm | 20 [− 459 to 499] | − 0.004 [− 0.074 to 0.066] | − 104 [− 1691 to 1483] | 45 |
+ 10% cost in control arm | − 80 [− 558 to 398] | − 0.004 [− 0.074 to 0.066] | − 4 [− 1591 to 1583] | 50 |
All results are based on imputed data and comparing the 10TT arm to the control arm (n = 537)
CI confidence interval, INMB incremental net monetary benefit, MAR missing at random, MNAR missing not at random, QALY quality-adjusted life year, QoL quality of life, 10TT Ten Top Tips
aAt a cost-effectiveness threshold of £20,000/QALY
bHow missing cost and QoL data are assumed to differ from MAR-imputed values