Table 4.
Results of the main and sensitivity analyses (based on 5,000 bootstrap simulations)
Incremental costs, € (95% CI) |
Incremental effects (95% CI) |
Mean ICER/ICUR (95% CI) |
Distribution over the incremental cost-effectiveness plane | ||||
NE | NW | SE | SW | ||||
Analysis ACTonPainguided vs CG | |||||||
Cost-effectiveness analysis (treatment response) |
6 (−916 to 953) |
0.14 (0.08 to 0.2) |
45 (−6,671 to 8,260) |
50% | – | 50% | – |
Cost-utility analysis (QALYs based on AQoL-8D) |
6 (−916 to 953) |
0.01 (0.005 to 0.015) |
604 (−92,924 to 114,325) |
50% | – | 50% | – |
Sensitivity analysis (QALYs based on EQ5D-3L) |
6 (−916 to 953) |
0.014 (0.004 to 0.024) |
438 (−69,407 to 122,314) | 50% | – | 50% | – |
Analysis ACTonPainunguided vs CG | |||||||
Cost-effectiveness analysis (treatment response) |
−352 (−1,968 to 1,272) |
0.12 (0.006 to 0.232) |
ACTonPainunguided dominates CG | 32% | 1% | 66% | 1% |
Cost-utility analysis (QALYs based on AQoL-8D) |
−352 (−1,968 to 1,272) |
0.013 (0.002 to 0.024) |
ACTonPainunguided dominates CG | 32% | 1% | 66% | 1% |
Sensitivity analysis (QALYs based on EQ5D-3L) |
−352 (−1,968 to 1,272) |
0.017 (−0.005 to 0.04) | ACTonPainunguided dominates CG | 30% | 4% | 64% | 3% |
Analysis ACTonPainguided vs ACTonPainunguided | |||||||
Cost-effectiveness analysis (treatment response) |
388 (−1,416 to 2,185) |
0.164 (0.034 to 0.29) |
2,374 (−11,097 to 25,276) | 65% | – | 35% | – |
Cost-utility analysis (QALYs based on AQoL-8D) |
388 (−1,416 to 2,185) |
0.008 (−0.003 to 0.019) |
45,993* | 60% | 5% | 33% | 2% |
Sensitivity analysis (QALYs based on EQ5D-3L) |
388 (−1,416 to 2,158) |
0.01 (−0.01 to 0.031) | 37,327* | 53% | 12% | 31% | 4% |
CG, waitlist control group; ICER, incremental cost-effectiveness ratio; ICUR, incremental cost-utility ratio; MPI, Pain Interference Scale of the Multidimensional Pain Inventory; NE, northeast quadrant; NW, northwest quadrant; PGIC, Patient Global Impression of Change scale; SE, southeast quadrant; SW, southwest quadrant.
*A dependably accurate 95% CI for this distribution cannot be defined because there is no line through the origin that excludes α/2 of the distribution.73