Table A2:
Objective: To assess the cost-effectiveness of SCIG versus IVIG treatment | |||||
---|---|---|---|---|---|
Author, year | Is the study population similar to the question? | Are the interventions similar to the question? | Is the health care system in which the study was conducted sufficiently similar to the current Ontario context? | Was the perspective clearly stated and what was it? | Are estimates of relative treatment effect from the best available source? |
Gerth et al,201411 | Yes | Yes | Yes (Canada) | Yes; Public payer | Not applicable |
Martin et al,201334 | Yes | Yes | Yes (Canada) | Yes; Public payer | Not applicable |
CADTH, 200835 (First analysis)a | Yes | Yes | Yes (Canada) | Yes; Public payer | Not applicable |
CADTH, 2008 (Second analysis)b | Yes | Yes | Yes (Canada) | Yes; Public payer | Partly |
Beauteet al200936 (First analysis)a | Yes | Yes | Yes (France) | Yes; Public payer | Not applicable |
Beauteet al 200936 (Second analysis)c | Yes | Yes | Yes (France) | Yes; Public payer | Not applicable |
Author, year | Are all future costs and outcomes discounted? (If yes, at what rate?) | Is the value of health effects expressed in terms of quality-adjusted life-years? | Are costs from other sectors fully and appropriately measured and valued? | Overall judgement (directly applicable/partially applicable/not applicable) | |
---|---|---|---|---|---|
Gerth et al, 201411 | Not applicable | Not applicable | Partly | Partially Applicable | |
Martin et al, 201334 | No | Not applicable | Partly | Partially Applicable | |
CADTH, 200835 (First analysis)a | Not applicable | Not applicable | Partly | Partially Applicable | |
CADTH, 2008 (Second analysis)b | Not applicable | Yes | Partly | Partially Applicable | |
Beauteet al 200936 (First analysis)a | Not applicable | Not applicable | Partly | Not Applicable | |
Beauteet al 200936 (Second analysis)c | Not applicable | Not applicable | No | Not Applicable |
Abbreviations: IVIG, hospital-based intravenous immunoglobulin; SCIG, home-based subcutaneous immunoglobulin.
In the first analysis, authors assumed that SCIG and IVIG would yield identical clinical outcomes, and then conducted the cost minimization analysis.
In the second analysis, authors assumed that SCIG and IVIG would yield different clinical outcomes, and then conducted the cost utility analysis.
Authors included eight patients with SCIG therapy and 26 patients with IVIG therapy. The crude results were reported.