Table 2.
Base-case analysis modeling cost-effectiveness of interventions for 18 months with diminishing intervention benefits after 18 months
EUC | CHW only | CHW + PL | CHW + PL vs. CHW only | CHW only vs. EUC | CHW + PL vs. EUC | |
---|---|---|---|---|---|---|
Intervention cost1 ($) | 234 | 820 | 1,599 | 779 | 586 | 1,365 |
Outcome cost ($) | ||||||
10 years | 71,934 | 71,899 | 71,226 | –674 | –35 | –708 |
20 years | 127,405 | 127,460 | 126,836 | –624 | 55 | –569 |
30 years | 163,073 | 163,164 | 162,644 | –520 | 92 | –428 |
Total cost ($) | ||||||
10 years | 72,168 | 72,719 | 72,825 | 105 | 551 | 657 |
20 years | 127,639 | 128,280 | 128,435 | 155 | 641 | 796 |
30 years | 163,307 | 163,984 | 164,243 | 259 | 678 | 937 |
Life expectancy (years) | ||||||
10 years | 9.35 | 9.36 | 9.38 | 0.019 | 0.0040 | 0.0236 |
20 years | 17.01 | 17.02 | 17.06 | 0.0478 | 0.0091 | 0.0569 |
30 years | 22.65 | 22.66 | 22.72 | 0.0692 | 0.0096 | 0.0788 |
QALE (QALYs) | ||||||
10 years | 4.46 | 4.46 | 4.48 | 0.0147 | 0.0001 | 0.0149 |
20 years | 7.05 | 7.05 | 7.07 | 0.0262 | 0.0015 | 0.0276 |
30 years | 8.40 | 8.41 | 8.44 | 0.0316 | 0.0017 | 0.0333 |
Cost per QALY gained ($) | ||||||
10 years | 7,168 | 4,443,300 | 44,172 | |||
20 years | 5,918 | 430,600 | 28,796 | |||
30 years | 8,202 | 402,594 | 28,164 |
Intervention cost was the per-participant cost over the 18-month intervention period of the REACH Detroit trial.