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. 2018 Aug 11;392(10146):487–495. doi: 10.1016/S0140-6736(18)31222-4

Table 2.

Mean life-years and costs for reference case and best alternative strategy from screening age until age 95 years

Reference case*
Best alternative strategy
Not invited to screening Invited to screening Difference Not invited to screening Invited to screening Difference
Life-years
Undiscounted 20·5451 20·5480 0·0029 16·4305 16·4353 0·0048
Discounted 13·9351 13·9367 0·0016 11·8599 11·8627 0·0028
Discounted, QA 10·4484 10·4495 0·0011 8·7257 8·7277 0·0020
Costs (£)
Undiscounted 90·33 126·23 35·90 84·53 134·93 50·40
Discounted 50·55 84·36 33·81 52·76 97·83 45·07
ICER (£ per life-year or QALY gained)
Discounted, life-years .. .. 21 620 (95% CI 8862–61 794) .. .. 16 016 (95% CI 6800–50 039)
Discounted, QA .. .. 30 170 (95% CI 12 238–87 002) .. .. 22 540 (95% CI 9522–70 638)

Selective sampling of individuals above the diagnosis threshold was used to calculate accurate incremental estimates whereas mean life-years and costs within groups were obtained from full population sampling. For consistency, estimates in the Invited group are therefore obtained by adding the incremental estimates to the estimates from the Not Invited group. QA=quality-adjusted. ICER=incremental cost-effectiveness ratio. QALY=quality-adjusted life-year.

*

Invitation to screening at age 65 years, diagnosis threshold 3·0 cm, intervention threshold 5·5 cm.

Invitation to screening at age 70 years, diagnosis threshold 2·5cm, intervention threshold 5·0cm.