Table 4

Sensitivity analysis

ScenarioDifference in cost (€)Difference in effect (QALYs)ICER €/QALY (95% CI)
Main analysis (lifetime timeframe)8 5241.416 045 (4 292–9 411)
Costs and health effects undiscounted (lifetime timeframe)11 7742.444 825 (3 320 –7 958)
Costs and health effects discounted at 5% (lifetime timeframe)11 9111.0211 677 (8 181–17 697)
Health effects undiscounted, costs discounted at 3% (lifetime timeframe)12 0232.454 907 (3 437–8 187)
Same mortality rate in CRT and control groups assumed between end of trial and 6 years (6 year time frame)1 9860.434 619 (2 163–10 602)
Different mortality rates in CRT and control groups assumed between end of trial and 6 years (6 year time frame)1 9770.523 802 (1 895–7 368)
Same mortality rate in CRT and control groups assumed from the end of trial and onwards (lifetime timeframe)1 9720.702 817 (1 179–9 799)
Device longevity 5 years (lifetime timeframe)9 4501.416 702 (4 820–10 642)
Device longevity 7 years (lifetime timeframe)7 5361.415 345 (3 795–8 378)
Hellenic NHS perspective8 2751.415 869 (4 193–9 162)
Private health-care perspective9 1861.416 515 (4 725–10 202)
CRT with defibrillation back-up (CRT-D)24 9492.1011 880 (9 479–16 076)
ScenarioDifference in cost (€)Difference in effect (QALYs)ICER €/QALY (95% CI)
Main analysis (lifetime timeframe)8 5241.416 045 (4 292–9 411)
Costs and health effects undiscounted (lifetime timeframe)11 7742.444 825 (3 320 –7 958)
Costs and health effects discounted at 5% (lifetime timeframe)11 9111.0211 677 (8 181–17 697)
Health effects undiscounted, costs discounted at 3% (lifetime timeframe)12 0232.454 907 (3 437–8 187)
Same mortality rate in CRT and control groups assumed between end of trial and 6 years (6 year time frame)1 9860.434 619 (2 163–10 602)
Different mortality rates in CRT and control groups assumed between end of trial and 6 years (6 year time frame)1 9770.523 802 (1 895–7 368)
Same mortality rate in CRT and control groups assumed from the end of trial and onwards (lifetime timeframe)1 9720.702 817 (1 179–9 799)
Device longevity 5 years (lifetime timeframe)9 4501.416 702 (4 820–10 642)
Device longevity 7 years (lifetime timeframe)7 5361.415 345 (3 795–8 378)
Hellenic NHS perspective8 2751.415 869 (4 193–9 162)
Private health-care perspective9 1861.416 515 (4 725–10 202)
CRT with defibrillation back-up (CRT-D)24 9492.1011 880 (9 479–16 076)

Mean incremental cost-effectiveness ratio (95% confidence interval). Costs in €.

QALY, quality-adjusted life year; ICER, incremental cost-effectiveness ratio; CRT, cardiac resynchronization therapy; NHS, National Health Service.

Table 4

Sensitivity analysis

ScenarioDifference in cost (€)Difference in effect (QALYs)ICER €/QALY (95% CI)
Main analysis (lifetime timeframe)8 5241.416 045 (4 292–9 411)
Costs and health effects undiscounted (lifetime timeframe)11 7742.444 825 (3 320 –7 958)
Costs and health effects discounted at 5% (lifetime timeframe)11 9111.0211 677 (8 181–17 697)
Health effects undiscounted, costs discounted at 3% (lifetime timeframe)12 0232.454 907 (3 437–8 187)
Same mortality rate in CRT and control groups assumed between end of trial and 6 years (6 year time frame)1 9860.434 619 (2 163–10 602)
Different mortality rates in CRT and control groups assumed between end of trial and 6 years (6 year time frame)1 9770.523 802 (1 895–7 368)
Same mortality rate in CRT and control groups assumed from the end of trial and onwards (lifetime timeframe)1 9720.702 817 (1 179–9 799)
Device longevity 5 years (lifetime timeframe)9 4501.416 702 (4 820–10 642)
Device longevity 7 years (lifetime timeframe)7 5361.415 345 (3 795–8 378)
Hellenic NHS perspective8 2751.415 869 (4 193–9 162)
Private health-care perspective9 1861.416 515 (4 725–10 202)
CRT with defibrillation back-up (CRT-D)24 9492.1011 880 (9 479–16 076)
ScenarioDifference in cost (€)Difference in effect (QALYs)ICER €/QALY (95% CI)
Main analysis (lifetime timeframe)8 5241.416 045 (4 292–9 411)
Costs and health effects undiscounted (lifetime timeframe)11 7742.444 825 (3 320 –7 958)
Costs and health effects discounted at 5% (lifetime timeframe)11 9111.0211 677 (8 181–17 697)
Health effects undiscounted, costs discounted at 3% (lifetime timeframe)12 0232.454 907 (3 437–8 187)
Same mortality rate in CRT and control groups assumed between end of trial and 6 years (6 year time frame)1 9860.434 619 (2 163–10 602)
Different mortality rates in CRT and control groups assumed between end of trial and 6 years (6 year time frame)1 9770.523 802 (1 895–7 368)
Same mortality rate in CRT and control groups assumed from the end of trial and onwards (lifetime timeframe)1 9720.702 817 (1 179–9 799)
Device longevity 5 years (lifetime timeframe)9 4501.416 702 (4 820–10 642)
Device longevity 7 years (lifetime timeframe)7 5361.415 345 (3 795–8 378)
Hellenic NHS perspective8 2751.415 869 (4 193–9 162)
Private health-care perspective9 1861.416 515 (4 725–10 202)
CRT with defibrillation back-up (CRT-D)24 9492.1011 880 (9 479–16 076)

Mean incremental cost-effectiveness ratio (95% confidence interval). Costs in €.

QALY, quality-adjusted life year; ICER, incremental cost-effectiveness ratio; CRT, cardiac resynchronization therapy; NHS, National Health Service.

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