Table 5 Cost-effectiveness results for alternative scenarios around estimated effectiveness
Pooled treatment effect from eight trials in this patient population*Treatment effect permitted to vary according to baseline risk in RITA 3*
Risk group 1Risk group 2Risk group 3Risk group 4aRisk group 4bRisk group 1Risk group 2Risk group 3Risk group 4aRisk group 4b
Odds ratio index hospitalisation with early intervention1.421.421.421.421.421.711.671.671.561.47
Hazard ratio in follow-up period with early intervention0.690.690.690.690.690.860.800.720.620.50
Incremental cost (£)4819485257886163612947464774557465527214
Incremental QALY0.0820.1850.2400.4520.418−0.0190.0950.1880.5510.689
ICER (£)58 49026 26524 14313 64614 673Dominated50 13129 71111 89810 476
Probability early interventional strategy is cost-effective at £20 000 (£30 000) per QALY†0.002 (0.057)0.185 (0.628)0.248 (0.706)0.869 (0.964)0.828 (0.958)0.001 (0.025)0.069 (0.263)0.168 (0.506)0.940 (0.983)0.979 (0.994)
  • *Details of meta-analysis and interaction models are available in the technical report (see supplementary report). Illustrative patients based on predicted risk of death or MI as defined in RITA 3 represent each risk group 2.

  • †Proportion of simulation in the probabilistic analysis with an ICER below £20 000 (£30 000).

  • ICER, incremental cost-effectiveness ratio; QALY, quality-adjusted life year.