Pooled treatment effect from eight trials in this patient population* | Treatment effect permitted to vary according to baseline risk in RITA 3* | |||||||||
Risk group 1 | Risk group 2 | Risk group 3 | Risk group 4a | Risk group 4b | Risk group 1 | Risk group 2 | Risk group 3 | Risk group 4a | Risk group 4b | |
Odds ratio index hospitalisation with early intervention | 1.42 | 1.42 | 1.42 | 1.42 | 1.42 | 1.71 | 1.67 | 1.67 | 1.56 | 1.47 |
Hazard ratio in follow-up period with early intervention | 0.69 | 0.69 | 0.69 | 0.69 | 0.69 | 0.86 | 0.80 | 0.72 | 0.62 | 0.50 |
Incremental cost (£) | 4819 | 4852 | 5788 | 6163 | 6129 | 4746 | 4774 | 5574 | 6552 | 7214 |
Incremental QALY | 0.082 | 0.185 | 0.240 | 0.452 | 0.418 | −0.019 | 0.095 | 0.188 | 0.551 | 0.689 |
ICER (£) | 58 490 | 26 265 | 24 143 | 13 646 | 14 673 | Dominated | 50 131 | 29 711 | 11 898 | 10 476 |
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.