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Table 3 Sensitivity analysis

From: A personalized intervention to prevent depression in primary care: cost-effectiveness study nested into a clustered randomized trial

Sensitivity analysisa

Adjusted mean difference (95% CI ) and ICER

Incremental net benefit: probability intervention is seen as effective with a threshold of:

€0

€10,000

€30,000

€50,000

€100,000

A. Perspective

 Costs only related to primary cre and mental health

  Incremental cost

€–43.61 (–186 to 10)

     

  Incremental QALY

0.02(–0.00 to 0.04)

     

  ICER (cost per QALY gained)

Dominant

0.9250

0.9852

0.9808

0.9784

0.9765

 All the costs

  Incremental cost

€–10.32 (–253 to 281)

     

  Incremental QALY

0.02(–0.00 to 0.04)

     

  ICER (cost per QALY gained)

Dominant

0.537

0.8989

0.9659

0.9724

0.9751

B. Discount rate (societal perspective)

 Discount rate: 0%

  Incremental cost

€–16.19 (–612 to 500)

     

  Incremental QALY

0.02 (0.00 to 0.04)

     

  ICER (cost per QALY gained)

Dominant

0.5309

0.8347

0.9413

0.9606

0.9710

 Discount rate: 6%

  Incremental cost

€–16.51 (–618 to 505)

     

  Incremental QALY

0.02(–0.00 to 0.04)

     

  ICER (cost per QALY gained)

Dominant

0.5316

0.8301

0.93855

0.9584

0.9694

C. Unit costs (societal perspective)

 Cost doubled

  Incremental cost

€–32.76 (–1231 to 1006)

     

  Incremental QALY (social tariffs)

0.02(–0.00 to 0.04)

     

  ICER (cost per QALY gained)

Dominant

0.5316

0.734

0.8874

0.9301

0.9594

 Costs halved

  Incremental cost

€–8.19 (–308 to 252)

     

  Incremental QALY (social tariffs)

0.02(–0.00 to 0.04)

     

  ICER (cost per QALY gained)

Dominant

0.5316

0.9140

0.9635

0.9699

0.9734

D. Analytical strategy

 Seemingly unrelated equations (societal perspective)

  Incremental cost

€–38 (–251 to 174)

     

  Incremental QALY (social tariffs)

0.02(–0.00 to 0.04)

     

  ICER (cost per QALY gained)

Dominant

0.6383

0 .9307

0.9711

0.9750

0.9767

 Completers analysis (societal perspective)b

  Incremental cost

€–14.46 (–1217 to 1456)

     

  Incremental QALY (social tariffs)

0.02 (0.01 to 0.04)

     

  ICER (cost per QALY gained)

Dominant

0.48

0.761

0.888

0.923

0.962

 Models adjusted only by costs or QALYs at baseline (societal perspective)

  Incremental cost

€118.52 (–909€ to 1497)

     

  Incremental QALY (social tariffs)

0.02 (0.01 to 0.04)

     

  ICER (cost per QALY gained)

€5644/QALY

0.3864

0.7165

0.8727

0.9218

0.9606

  1. aAll the analyses have been adjusted by the following baseline variables: employment status, owner/occupier of an accommodation, perception of safety inside/outside the home, anxiety disorder, experiences of discrimination,city (unless something elsewas stated), in addition to the risk of depression and the respective baseline value (i.e. costs or QALYs)
  2. bCompleters analyses were weighted using inverse probability weighting