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. 2019 Oct 31;4(5):e001825. doi: 10.1136/bmjgh-2019-001825

Table 2.

Cost-effectiveness of childhood cancer treatments

Study Year Country Diagnosis Inputs included in cost analysis* Cost per treated patient (2018 USD) Proportion of patients with 5-year survival Cost per life saved (2018 USD) DALYs averted per treated patient using 3% discounting Cost per DALY averted (2018 USD) GDP per capita (2017: latest available, USD)
Multiple childhood cancers
Fuentes-Alabi et al 18 2018 El Salvador All childhood cancers Comprehensive 30 035 0.49 61 296 36 1699 3889.31
Renner et al 16 2018 Ghana All childhood cancers Comprehensive 10 540 0.35 30 115 27 1114 2046.11
Leukaemias
Jaime-Perez et al 40 2017 Mexico ALL Medium 24 788 0.55 45 069 30 1490 8910.33
Gao et al 31 2013 China ALL Low 27 209 0.50 (5-year EFS) 45 348 30 1505 8826.99
Gu et al 34 2008 China ALL Low 44 667 0.67 (5-year EFS) 66 667 30 2213 8826.99
Hayati et al 35 2018 Iran ALL Medium 16 914 Not reported Unable to calculate QALYs gained per patient (5-year analysis period): 3.78 4475 5593.85
Luo et al 46 2008 China ALL Medium 18 791 0.78 (7-year EFS) 24 091 30 800 8826.99
Luo et al 47 2009 China APL Low 24 704 0.38 (3.5-year EFS) 65 011 30 2158 8826.99
Burkitt lymphoma
Denburg et al 30 2019 Uganda BL Comprehensive 1401 0.55 (2-year survival) 2574 26 100 606.47
Hesseling et al 37 2003 Malawi BL Low 217 0.35 (1-year EFS 0.57 converted to 5-year OS) 620 28 22 338.48
Other
Stefan and Stones 52 2009 South Africa HL Low 7360 0.76 9684 28 346 6151.08
Waddell et al 54 2015 Uganda Retinoblastoma Low 1079 0.37 2916 20 146 606.47

*Comprehensive: ≥10 inputs, Medium: 5–9 inputs, Low: <5 inputs.

ALL, acute lymphoblastic leukaemia; APL, acute promyelocytic leukaemia; BL, Burkitt lymphoma; DALY, disability-adjusted life year; EFS, event-free survival; GDP, gross domestic product; HL, Hodgkin lymphoma; OS, overall survival; QALY, quality-adjusted life year.