Table 3.
Strategy | Cost/patient ($) | PF-QALY Benefit/patient (months) | PF-QALY Benefit/patient (years) | Incremental cost-effectiveness ratio ($/PF-QALY)* | Additional annual cost to US health system ($)** |
---|---|---|---|---|---|
Observation | $827 | 3.4 | 0.29 | -- | -- |
gBRCA testing/selective treatment | $46,157 | 5.7 | 0.48 | $243,092/PF-QALY | $ 249 million |
gBRCA testing + HRD testing/selective treatment | $109,368 | 8.5 | 0.71 | $269,883/PF-QALY | $ 597 million |
Treat all | $169,127 | 8.8 | 0.74 | $2.2 million/PF-QALY | $ 926 million |
All ICERs refer to a comparison to the next less effective strategy in Table. The ICER threshold for considering a strategy cost effective was $100,000/PF-QALY.
Assuming 5,507 platinum sensitive recurrent ovarian cancer patients annually.