Table 2.
Subgroup Analyses - Cost, Life Expectancy, and Cost Effectiveness*
| Subgroup | CABG | Medical Therapy | Difference | Incremental Cost-Effectiveness Ratio | Probability of Cost-Effectiveness by Willingness-to-Pay threshold ($/QALY) | ||
|---|---|---|---|---|---|---|---|
| $50,000 | $100,000 | $150,000 | |||||
|
| |||||||
| 0–2 Vessel Disease | |||||||
| Total Costs, USD | 137,652 (103,640 – 177,631) |
78,226 (61,406 – 97,974) |
59,426 (30,694 – 95,906) |
- | - | - | - |
| QALYs | 6.38 (5.37 – 7.54) |
5.82 (5.25 – 6.49) |
0.56 (−0.25 – 1.42) |
$106,752 per QALY | 0.08 | 0.46 | 0.65 |
|
| |||||||
| 3 Vessel Disease | |||||||
| Total Costs, USD | 143,567 (107,360 – 188,165) |
69,810 (54,622 – 87,386) |
73,756 (42,741 – 113,276) |
- | - | - | - |
| QALYs | 6.80 (5.52 – 8.24) |
5.02 (4.49 – 5.64) |
1.78 (0.72 – 2.98) |
$41,476 per QALY | 0.71 | 0.98 | 1.00 |
|
| |||||||
| LVEF ≤ 28% | |||||||
| Total Costs | 135,441 (101,502 – 176,159) |
67,916 (53,112 – 84,421) |
67,495 (38,187 – 104,831) |
- | - | - | - |
| QALYs | 6.15 (5.20 – 7.28) |
4.84 (4.38 – 5.35) |
1.31 (0.54 – 2.21) |
$51,370 per QALY | 0.47 | 0.95 | 0.99 |
|
| |||||||
| LVEF > 28% | |||||||
| Total Costs | 146,356 (109,993 – 190,063) |
83,420 (64,780 – 104,702) |
62,936 (32,209 – 100,657) |
- | - | - | - |
| QALYs | 7.04 (5.72 – 8.52) |
6.35 (5.69 – 7.15) |
0.69 (−0.38 – 1.80) |
$90,687 per QALY | 0.14 | 0.55 | 0.71 |
Reported costs and benefits are discounted at 3%, except for sensitivity analyses that use a 0% and 5% discount rate. Costs, LYs, and QALYs are represented by means and 95% confidence intervals.
Abbreviations: CABG – coronary artery bypass grafting, LVEF – left ventricular ejection fraction, LY – life years, QALY – quality-adjusted life years, USD – US dollars.