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Table 4 Cost (AUD), QALY and net monetary benefit per patient by model and time-horizon for the Markov and DES models

From: Time-to-event analysis in economic evaluations: a comparison of modelling methods to assess the cost-effectiveness of transplanting a marginal quality kidney

 

Base case analysis

Probabilistic sensitivity analysis

Cost#

Effect

Δ Cost#

Δ Effect

ICER

Net monetary benefit (NMB)

Δ Net monetary benefit

Mean NMB#

% change from the DES value

Δ NMB#

% change from the DES value

Time horizon – 5 years

 Markov model (cycle length 1 year)

Transplanting KDPI > 75 kidney

147,000

3.17

196,000

0.35

Dominant

−49,000

142%

209,000

−33%

Waitlisted for a kidney

343,000

2.82

− 258,000

0.3%

 Markov model (cycle length 0.5 year)

Transplanting KDPI > 75 kidney

142,000

3.20

187,000

0.50

Dominant

−96,000

22%

191,000

−26%

Waitlisted for a kidney

328,000

2.70

− 287,000

−10%

 Discrete Event Simulation model

Transplanting KDPI > 75 kidney

206,000

3.20

130,000

0.45

Dominant

−118,000

 

141,000

 

Waitlisted for a kidney

336,000

2.75

− 259,000

 

Time horizon – 20 years

 Markov model (cycle length 1 year)

Transplanting KDPI > 75 kidney

267,000

6.89

371,000

1.64

Dominant

−53,000

128%

416,000

−17%

Waitlisted for a kidney

639,000

5.25

− 469,000

−0.7%

 Markov model (cycle length 0.5 year)

Transplanting KDPI > 75 kidney

248,000

7.17

299,000

2.68

Dominant

− 146,769

−17%

329,000

5%

Waitlisted for a kidney

547,000

4.49

− 476,000

−2%

 Discrete Event Simulation model

Transplanting KDPI > 75 kidney

322,000

7.09

285,000

2.09

Dominant

− 121,000

 

345,000

 

Waitlisted for a kidney

607,000

5.00

− 466,000

 
  1. # Rounded up to the nearest AUD 1000