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