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. 2019 Mar 29;3(4):537–550. doi: 10.1007/s41669-019-0131-6

Table 3.

Deterministic base-case analysis for semaglutide versus dulaglutide as an add-on to metformin

Deterministic base-case
Semaglutide
0.5 mg
Dulaglutide
0.75 mg
Difference Semaglutide
1.0 mg
Dulaglutide
1.5 mg
Difference
Health gain
 Survival after 40 years, % 4.6 4.6 0 4.7 4.6 0.1
 Life-years 17.79 17.77 0.02 17.81 17.77 0.05
 QALYs 11.10 11.07 0.04 11.12 11.07 0.05
Direct costs, CAN$
 Antihyperglycemic treatment 25,501 25,481 20 25,534 25,476 58
 Hypoglycemia 181 231 − 50 212 236 − 24
Macrovascular complications
  IHD 13,755 13,628 127 13,717 13,765 − 48
  CHF 7664 7692 − 27 7687 7719 − 33
  MI 8655 8627 28 8573 8674 − 101
  Stroke 5482 5510 − 29 5356 5518 − 161
Microvascular complications
  Retinopathy 1306 1354 − 48 1288 1319 − 31
  Neuropathy 20,564 20,703 − 139 20,510 20,579 − 69
  Nephropathy 2983 3075 − 93 2935 3007 − 72
 Total 86,090 86,302 − 212 85,812 86,292 − 480
Production loss costs, CAN$ 27,197 27,388 − 191 27,172 27,403 − 231
Total costs, CAN$ 113,287 113,690 − 403 112,983 113,695 − 711
Incremental cost-effectiveness ratio
 Per life-year gained Dominant Dominant
 Per QALY gained Dominant Dominant

CAN$ Canadian dollars, CHF congestive heart failure, IHD ischemic heart disease, MI myocardial infarction, QALY quality-adjusted life-year