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Table 3 The incremental comparison of expected life years, QALYs, costs, and ICERs for five screening strategies for heart failure in patients with type 2 diabetes of 60 years or older

From: Cost-effectiveness of screening strategies to detect heart failure in patients with type 2 diabetes

Strategy

0

No screening

1

EMR symptoms

2

EMR symptoms

Physical Exam

3

EMR symptoms

Physical exam

NTproBNP

4

EMR symptoms

Physical exam

NTproBNP ECG

5

Echocardiography

Life expectancy (years)

 Men

14.726

14.742

14.742

14.742

14.742

14.742

 Women

16.830

16.851

16.851

16.851

16.851

16.852

QALY expectancy (years)

 Men

12.345

12.477

12.477

12.477

12.477

12.479

 Women

14.047

14.215

14.215

14.216

14.215

14.217

Expected costs pp (euros)

 Men

€6795

€7605

€7611

€7625

€7642

€7667

 Women

€5024

€6086

€6093

€6107

€6125

€6152

Strategy comparison

NA

1 vs 0

2 vs 1

3 vs 1

4 vs 1

5 vs 1

Additional QALYs to comparator

 Men

NA

0.132

0.000

0.000

0.000

0.002

 Women

NA

0.168

0.000

0.000

0.000

0.002

Additional costs to comparator

 Men

NA

€810

NA

NA

NA

€62

 Women

NA

€1063

NA

NA

NA

€66

ICER

 Men

NA

€6115a

Dominated

Dominated

Dominated

€29,100

 Women

NA

€6318a

Dominated

Dominated

Dominated

€39,326

  1. In the upper part of the table the absolute expected life-years, QALYs, and costs are given for each strategy. In the lower part, for each strategy these life-years, QALYs and costs are compared to the current optimal strategy
  2. EMR Electronic Medical Record, ICER incremental cost-effectiveness ratio
  3. aThis is the strategy expected to be optimal for a WTP of €20,000 per QALY