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Another mentioned ceiling ratio is € 40,000/QALY gained.
The net monetary benefit was positive for 50% of simulations with a ceiling ratio of $1,000 versus 51% if the ceiling ratio was increased to $100,000.
The net benefit is calculated as the total costs (C) minus the effects (E) multiplied by the ceiling ratio (C − (E × ceiling ratio)) [ 33].
The values of ceiling ratio are in CFA, West Africa French currency.
When the maximum ceiling ratio of €80,000 is used, the probability diminishes slightly, to 76%%.
This small decrease indicates that the final decision is rather insensitive to the ceiling ratio chosen.
For patient perceived recovery, the 50%-probability corresponds with a ceiling ratio of €20,000.
The result is ΔC = ΔE * ICER and for any ceiling ratio Ro, ΔC = ΔE * Ro.
For a ceiling ratio of £30 000, SC has a 100% probability to be cost-effective.
57 The ceiling ratio was varied to explore uncertainty in willingness to pay.
The cost-effectiveness acceptability curve show that the probability of acceptance is 68% at a ceiling ratio of €80,000/QALYY gained and 22% at a ceiling ratio of € 40,000/QALY gained from the societal perspective.
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