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. 2019 Jan 30;30(3):649–658. doi: 10.1007/s00198-018-04821-7

Table 2.

Lifetime healthcare costs, QALYs, and incremental cost-effectiveness ratio (cost (€) per QALY gained) of GR risedronate compared with generic risedronate, alendronate, and no treatment at the age of 70 years

GR risedronate Generic risedronate Alendronate No treatment Incremental
Vs generic risedronate Vs alendronate Vs no treatment
BMD T-score ≤ − 2.5 and prevalent vertebral fractures
 Treatment cost 343 191 298 0 153 45 343
 Fractures-related cost 27,051 27,182 27,091 27,418 − 132 − 40 − 367
 Total healthcare cost 27,394 27,373 27,390 27,418 21 5 − 24
 QALY 9.4902 9.4812 9.4881 9.4664 0.0090 0.0021 0.0238
 ICER (€ per QALY gained) 2341 2037 Cost-saving*
BMD T-score ≤ − 2.5
 Treatment cost 343 191 298 0 152 45 343
 Fractures-related cost 16,706 16,743 16,728 16,898 − 37 − 22 − 192
 Total healthcare cost 17,050 16,933 17,026 16,898 117 24 152
 QALY 10.0674 10.0621 10.0655 10.0564 0.0053 0.0019 0.011
 ICER (€ per QALY gained) 21,875 12,548 13,707
Prevalent vertebral fractures
 Treatment cost 343 191 298 0 152 45 343
 Fractures-related cost 15,878 15,929 15,899 16,029 − 51 − 21 − 151
 Total healthcare cost 16,221 16,119 16,198 16,029 102 23 192
 QALY 9.8881 9.8830 9.8868 9.8736 0.0051 0.0013 0.0145
 ICER (€ per QALY gained) 19,922 18,259 13,311

GR, gastro-resistant; ICER, incremental cost-effectiveness ratio; QALY, quality-adjusted life year

*Additional treatment costs lower than fractures-related cost saved with more prevented fractures