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. 2012 Sep 12;2012(9):CD009157. doi: 10.1002/14651858.CD009157.pub2

Naik 2010.

Methods Study design: cost‐effectiveness analysis, Markov model
Time horizon: 1 year
Currency used, year of study: US dollars (USD), price year 2006
Participants Analytic perspective: third‐party payer
Setting, country of study: primary and secondary care, USA
Population: patients with moderate COPD
 Effectiveness data: exacerbations; tiotropium data from 3 RCTs (Casaburi 2002; Donohue 2002; Vincken 2002), salmeterol data from 2 RCTs (Donohue 2002; Rennard 2001), no treatment (placebo) data from 3 RCTs (Casaburi 2002; Donohue 2002; Rennard 2001)
Utility scores: from published RCTs of various treatments. No reference given.
Resource use and costs: costs of drugs, hospitalisations, monitoring (laboratory tests) and physician visits. The drug costs and cost of maintenance therapy were based on average wholesale prices. All other costs were from Medicare sources.
Interventions Intervention: tiotropium 18 μg once daily
Control 1: salmeterol 50 μg twice daily
Control 2: no treatment
Outcomes Cost per exacerbation avoided per patient per year. ICERs were calculated as additional cost per patient to prevent one exacerbation, compared with the next most expensive option
Notes Sensitivity analysis: one‐way sensitivity analysis; the probability of exacerbation, the probability of hospitalisation, the probability of severe exacerbation, and the compliance rate
Funding: not stated