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Table 5 Sensitivity analyses

From: Economic evaluation of increasing population rates of cardiac catheterization

Parameter

Incremental cost-effectiveness ratio ($ per QALY)

 

ACS

(Yusuf RR)

ACS

(FRISC-II RR)

Non-ACS

Base case

$23,559

$31,438

$32,107

ACS specific yield (2.6:1 for males, 3.4:1 for females)

$22,187

$30,768

 

Non-ACS specific yield (2.5:1 for males, 5:1 for females)

  

$29,593

Disease yield for males (cost per QALY for male subgroup)

   

   Decreased to 4:1 catheterizations per high risk case detected

$28,335

$34,139

$34,673

   Increased to 2:1 catheterizations per high risk case detected

$21,973

$32,167

$25,466

Disease yield for females (cost per QALY for female subgroup)

   

   Decreased to 7:1 catheterizations per high risk case detected

$22,485

$27,626

$51,189

   Increased to 3:1 catheterizations per high risk case detected

$17,410

$24,944

$32,390

Relative risk of death associated with medical management compared to revascularisation

   

   Increase by 25% (revascularization more beneficial)

$13,300

$18,717

$17,884

   Decrease by 25% (revascularization less beneficial)

Dominated

$196,414

Dominated

Use of Seattle Angina Questionnaire disease specific quality of life measure

$20,975

$27,575

$26,264

Procedural Costs

   

   Increase by 50%

$30,631

$41,228

$40,540

   Decrease by 25%

$16,486

$21,648

$23,674

Costs of care

   

   Increase by 50%

$21,193

$27,577

$31,294

   Decrease by 25%

$24,741

$33,368

$32,513

Discount rate

   

   No discounting

$12,324

$15,388

$12,672

   3% discount rate

$19,300

$25,307

$24,276

   6% discount rate

$25,617

$34,389

$35,971