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Table 3 Results one-way sensitivity analyses

From: Cost-effectiveness of enzyme replacement therapy with alglucosidase alfa in adult patients with Pompe disease

 

Incr. LY

Incr. QALY

Incr. Costs

Cost/LY

Cost/QALY

Scenario 1: No extrapolation of survival gains

Base Case

2.03

2.13

€ 6,486,112

€ 3,195,040

€ 3,050,814

Structural uncertainty

 Survival: ERT as only covariate

2.15

2.08

€ 5,780,738

€ 2,692,018

€ 2,772,920

 5 year time horizon

0.13

0.29

€ 2,043,440

€ 15,558,121

€ 6,958,412

 15 year time horizon

1.19

1.31

€ 4,681,908

€ 3,944,770

€ 3,567,548

Input values

 Medication costs 20% reduced

2.03

2.13

€ 5,234,010

€ 2,578,258

€ 2,461,874

 Discount rates 0%

2.61

2.69

€ 11,186,321

€ 4,287,545

€ 4,162,930

 No utility gain

2.03

1.26

€ 6,486,112

€ 3,195,040

€ 5,138,186

 Utility gain of 0.10

2.03

3.03

€ 6,486,112

€ 3,195,040

€ 2,139,947

 No difference in healthcare costs except for cost of ERT

2.03

2.13

€ 6,418,842

€ 3,161,903

€ 3,019,173

 Survival: last value carried forward from year 8 onwards

1.98

2.08

€ 6,387,051

€ 3,231,592

€ 3,073,535

Scenario 2: Extrapolated survival gains

Base Case

5.67

4.38

€ 7,564,035

€ 1,334,081

€ 1,726,636

Structural uncertainty

 Survival: ERT as only covariate

5.44

4.14

€ 6,749,881

€ 1,241,847

€ 1,629,079

 5 year time horizon

0.13

0.29

€ 2,043,440

€ 15,558,121

€ 6,958,412

 15 year time horizon

1.59

1.58

€ 4,836,654

€ 3,047,385

€ 3,053,857

Input values

 Medication costs 20% reduced

5.67

4.38

€ 6,121,967

€ 1,079,741

€ 1,397,456

 Discount rates 0%

8.22

6.12

€ 14,480,052

€ 1,761,281

€ 2,367,014

 No utility gain

5.67

3.34

€ 7,564,035

€ 1,334,081

€ 2,265,117

 Utility gain of 0.10

5.67

5.47

€ 7,564,035

€ 1,334,081

€ 1,382,324

 No difference in healthcare costs except for cost of ERT

5.67

4.38

€ 7,390,957

€ 1,303,555

€ 1,687,127

 Survival: last value carried forward from year 8 onwards

5,65

4.36

€ 7,478,037

€ 1,323,777

€ 1,716,538

  1. Base case results differ somewhat from Table 2 as sensitivity analyses were performed using deterministic analyses