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Table 2 Base case cost-effectiveness results

From: Cost-effectiveness and value of information analysis of NephroCheck and NGAL tests compared to standard care for the diagnosis of acute kidney injury

 

Cost

Incremental Cost

QALY

Incremental QALY

ICER (incremental)

ICER vs. standard care

p (C/E) @ 20 k

p (C/E) @ 20 k vs. standard care

Base case: Full associative effect of AKI mitigation on a) the risk of CKD within the first year, b) half the associative effect on the need for ICU, c) half the associative effect on hospital/ICU LOS, and d) no associative effect on 90-day mortality.

Standard care (Scr)

£22,978

–

6.07277

–

–

–

64.5%

–

Test 1 (NephroCheck)

£23,016

£38

6.07313

0.00036

£105,965

£105,965

29.7%

32.0%

Test 3 (NGAL urine - BioPorto)

£23,049

Dominated

6.07290

Dominated

Dominated

£539,041

5.3%

11.0%

Test 2 (NGAL plasma - BioPorto)

£23,064

Dominated

6.07290

Dominated

Dominated

£633,846

0.3%

7.3%

Test 4 (NGAL urine - ARCHITECT)

£23,065

Dominated

6.07289

Dominated

Dominated

£725,061

0.0%

6.3%

  1. Dominated: more costly and less effective; P(C/E): probability that a test is cost-effective at a threshold value of willingness to pay for a QALY of £20,000