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Table 2 Cumulative discounted simulated results for the Netherlands from the healthcare perspective: years with disease, costs, QALYs gained and ICER

From: Cost-effectiveness of a stepwise cardiometabolic disease prevention program: results of a randomized controlled trial in primary care

 

5 years

10 years

20 years

60 years

AMI prevalence

− 9.12

− 39.3

− 121

− 160

CVA prevalence

− 2.82

− 13.7

− 50.1

− 72.4

CHF prevalence

− 1.13

− 5.96

− 27.7

− 46.3

AMI incidence

− 5.52

− 11.4

− 19.4

− 21.2

CVA incidence

− 1.95

− 4.79

− 10.6

− 13.2

CHF incidence

− 0.742

− 2.21

− 7.01

− 9.77

QALYs gained

4.19

19.4

74.0

135

 Intervention costs

  Selection and invitation costs: 1200 Euro per GP practice (million Euro)

6.00

6.00

6.00

6.00

  Lifestyle + healthcare costs in the year of intervention: 132 Euro per patient (million Euro)

34.4

34.4

34.4

34.4

 Future healthcare costs (million Euro)

− 0.0316

− 0.110

0.0548

0.984

Total costs (million Euro)

40.4

40.3

40.5

41.4

ICER (million Euro/QALY)

9.63

2.08

0.547

0.306

  1. AMI acute myocardial infarction, CVA stroke, CHF congestive heart failure, QALY quality-adjusted life year gained, ICER incremental cost-effectiveness ratio