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Table 3 Sensitivity analysis results: cost-effectiveness of once-weekly semaglutide 0.5 mg and 1 mg versus sitagliptin 100 mg when added to metformin (per patient)

From: The long-term cost-effectiveness of once-weekly semaglutide versus sitagliptin for the treatment of type 2 diabetes in China

Scenarios

Semaglutide 0.5 mg + metformin vs. Sitagliptin 100 mg + metformin

Semaglutide 1 mg + metformin vs. Sitagliptin 100 mg + metformin

Incremental QALYs

Incremental Costs, ¥ ($) †

ICER

Incremental QALYs

Incremental Costs, ¥ ($) †

ICER

Univariate sensitivity analyses

      

Time horizon set to be 10 years

0.04

–18,169

(–2697)

dominant ‡

0.05

–24,182

(–3589)

dominant §

Time horizon set to be 20 years

0.06

–29,521

(–4382)

dominant ‡

0.09

–41,089

(–6099)

dominant §

Discount rate (costs and benefits) set to be 0% in line with China guidelines

0.17

–64,940

(–9639)

dominant ‡

0.25

–92,752

(–13,768)

dominant §

Discount rate (costs and benefits) set to be 8% in line with China guidelines

0.06

–26,049

(–3867)

dominant ‡

0.09

–35,081

(–5207)

dominant §

Use UKPDS 68 risk equations to run model

0.08

–33,686

(–5000)

dominant ‡

0.12

–46,344

(–6879)

dominant §

HbA1c threshold for therapy escalation set to be 7.5%

0.08

–31,392

(–4660)

dominant ‡

0.11

–35,916

(–5331)

dominant §

Utility impacts set to be 0.017 per unit BMI decrease and − 0.047 per unit BMI increase [29]

0.56

–34,848

(–5173)

dominant ‡

0.81

–48,115

(–7142)

dominant §

BMI-related costs set to be 0

0.08

2805

(416)

34,163

(5071)

0.12

12,125

(1800)

99,466

(14,764)

BMI-related costs halved

0.08

–16,021

(–2378)

dominant ‡

0.12

–17,995

(–2671)

dominant §

Alternative utility impacts for vascular complications [27, 28]

0.08

–34,848

(–5173)

dominant ‡

0.12

–48,115

(–7142)

dominant §

Costs of vascular complications halved

0.08

–34,662

(–5145)

dominant ‡

0.12

–47,839

(–7101)

dominant §

Scenario analyses

0.11

–37,451

(–5559)

dominant ‡

0.15

–32,841

(–4875)

dominant §

Probabilistic sensitivity analyses

0.08

–33,297

(–4942)

dominant ‡

0.12

–44,632

(–6625)

dominant §

  1. BMI body mass index, HbA1c hemoglobin Alc, ICER incremental cost-effectiveness ratio, QALY quality-adjusted life year
  2. † For the costs, data are 2022 Chinese yuan, ¥ (2022 US dollar, $). One US dollar was equal to ¥6.737 in 2022 [19]
  3. ‡ Once-weekly semaglutide 0.5 mg + metformin dominated sitagliptin + metformin with more QALYs and lower costs
  4. § Once-weekly semaglutide 1 mg + metformin dominated sitagliptin + metformin with more QALYs and lower costs