Table 2.
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.