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One-way sensitivity analysis results for clinical and economic variables showed that the ICER rose above $60,000 per QALY (our standard for cost effectiveness) for only 2 of the variables when ranged over the values in Tables 1, 2, or 3, the nsNSAID peptic ulcer and POB probabilities [ 65].
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At a small fraction of the per capita income in Mexico, such gains are considered to be exceptionally good value, based on standard benchmarks for cost effectiveness analysis.
In the absence of a gold standard for cost-effectiveness analysis, different ways to calculate costs and report the analysis make direct cost comparisons challenging [ 40].
The second goal is to examine whether this intervention meets current standards for cost-effectiveness.
Costs were assessed from a societal perspective as advocated by current standards for cost-effectiveness analysis [ 12- 14].
For cost effectiveness, look for a small thumb-shaped device.
We defined a standard model for cost-effectiveness analysis in diagnostic imaging.
We did not use the standard metric for cost-effectiveness, which is the cost per year of life saved.
Consistent with WHO-CHOICE standards, the threshold for cost-effectiveness is three times the per capita gross domestic product (GDP) per DALY averted.
This ICER reflects that the treat all strategy has a QALY gain of 0.47 at an additional cost of £4,287, compared to the next-best alternative (FibroSpect and FibroScan) and is within the standard UK threshold range for cost-effectiveness.
In cost-effectiveness acceptability curves probabilities for cost-effectiveness, compared with standard care, ranged from 89% to 93% for SOD and from 63% to 72% for SDD, for acceptable costs for 1 LYG ranging from €0 to €20 000.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com