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Table 4 Scenario analyses

From: The cost-effectiveness of as-needed budesonide-formoterol versus low-dose inhaled corticosteroid maintenance therapy in patients with mild asthma in Canada

 

Total cost

Total QALY

ICER

As-needed budesonide-formoterol

Low-dose maintenance ICS + as-needed SABA

As-needed budesonide-formoterol

Low-dose maintenance ICS + as-needed SABA

Incremental cost

Incremental QALY

Dominant strategy

Scenario 1: discount rate 0%

$48,996

$62,385

34.579

34.576

− $13,388

0.003

As-needed budesonide-formoterol

Scenario 2: discount rate 3%

$28,346

$35,890

20.136

20.135

− $7544

0.001

As-needed budesonide-formoterol

Scenario 3: time horizon 2y

$2417

$3078

1.723

1.723

− $662

0.000

As-needed budesonide-formoterol

Scenario 4: time horizon 10y

$11,338

$14,398

8.093

8.093

− $3061

0.000

As-needed budesonide-formoterol

Scenario 5: societal perspective

$37,387

$47,269

25.960

25.958

− $9882

0.002

As-needed budesonide-formoterol

Scenario 6: budesonide as low-dose maintenance ICS

$36,546

$50,976

26.030

26.028

− $14,431

0.002

As-needed budesonide-formoterol

Scenario 7: ICS utilization adjusted to 62.8% (fixed)

$36,700

$43,606

25.177

25.175

− $6906

0.002

As-needed budesonide-formoterol

Scenario 8: removal of AEs from the analysis

$8449

$12,002

25.369

25.367

− $3552

0.002

As-needed budesonide-formoterol

  1. AE, adverse event; ICER, incremental cost-effectiveness ratio; ICS, inhaled corticosteroid; QALY, quality-adjusted life year; SABA, short-acting β2-agonist; y, year