Table 2.
Cost-Effectiveness Analyses
| Country | Drugs | Results | Conclusion |
|---|---|---|---|
| Netherlands93 | Rivaroxaban vs LMWH | Rivaroxaban were cost- saving while also slightly improving the patient’s health. | Treatment with rivaroxaban is economically dominant over dalteparin in patients with cancer at risk for recurrent VTE in the Netherlands. |
| Brasilia94 | Edoxaban vs LMWH | Edoxaban was associated with an incremental cost difference of $16,654.27 and an incremental QALY difference of 3.2. The estimated ICER is $5204.46 and represented cost saved per QALY lost, in favor of edoxaban. | Edoxaban represents a cost-saving alternative to LMWH for the management of CAT. |
| The US95 | NOACs (Edoxaban+ Rivaroxaban) vs LMWH | DOAC versus dalteparin was associated with an incremental cost reduction of $24,129 with an incremental QALY reduction of 0.04. | Rivaroxaban or edoxaban as compared to dalteparin is cost saving from a payer’s perspective for the treatment of CAT. |
| The US96 | Edoxaban vs LMWH | Edoxaban has similar quality-adjusted life years and significantly lower cost vs LMWH. | Edoxaban remains the most cost-effective anticoagulation strategy when compared to the LMWH. |
| China97 | NOACs (Edoxaban+Rivaroxaban+Apixaban) vs LMWH | Treatment with DOACs would result in a large reduction in cost but a small reduction in QALYs compared with LMWHs over a 5-year time frame. | As compared to LMWHs, NOACs can be a cost-saving anticoagulant choice for the treatment of CAT in the general oncology population and gastrointestinal malignancy population. |