Cost-effectiveness sequence | Incremental cost-effective ratios | |||||||
---|---|---|---|---|---|---|---|---|
Patient group | 1st | 2nd | 3rd | 4th | 1st | 2nd | 3rd | 4th |
Individuals without LBBB morphology | ||||||||
NYHA I, QRS duration <120 ms* | MT | ICD | N/A | N/A | Referent | £24 074 | N/A | N/A |
NYHA I, QRS duration ≥120 ms and <150 ms* | MT | CRT-D | ICD | N/A | Referent | Dominated | £16 253 | N/A |
NYHA I, QRS duration ≥150 ms* | MT | ICD | CRT-D | N/A | Referent | £21 102 | £21 759 | N/A |
NYHA II, QRS duration <120 ms | MT | ICD | N/A | N/A | Referent | £24 465 | N/A | N/A |
NYHA II, QRS duration ≥120 ms and <150 ms | MT | CRT-D | ICD | N/A | Referent | Dominated | £16 813 | N/A |
NYHA II, QRS duration ≥150 ms | MT | ICD | CRT-D | N/A | Referent | £20 602 | £23 738 | N/A |
NYHA III, QRS duration <120 ms | MT | ICD | N/A | N/A | Referent | £27 826 | N/A | N/A |
NYHA III, QRS duration≥120 ms and <150 ms | MT | CRT-P | ICD | CRT-D | Referent | £20 178 | Ext Dominated | £23 349 |
NYHA III, QRS duration ≥150 ms | MT | ICD | CRT-P | CRT-D | Referent | Dominated | £13 930 | £25 200 |
NYHA IV, QRS duration <120 ms | MT | N/A | N/A | N/A | Referent | N/A | N/A | N/A |
NYHA IV, QRS duration ≥120 ms and <150 ms | MT | CRT-P | CRT-D | N/A | Referent | £22 578 | £40 052 | N/A |
NYHA IV, QRS duration ≥150 ms | MT | CRT-P | CRT-D | N/A | Referent | £17 175 | £35 811 | N/A |
Individuals with LBBB morphology | ||||||||
NYHA I, QRS duration ≥120 ms and <150 ms* | MT | ICD | CRT-D | N/A | Referent | £20 677 | £21 672 | N/A |
NYHA I, QRS duration ≥150 ms* | MT | ICD | CRT-D | N/A | Referent | Ext Dominated | £17 470 | N/A |
NYHA II, QRS duration ≥120 ms and <150 ms | MT | ICD | CRT-D | N/A | Referent | Ext Dominated | £20 704 | N/A |
NYHA II, QRS duration ≥150 ms | MT | ICD | CRT-D | N/A | Referent | Ext Dominated | £17 664 | N/A |
NYHA III, QRS duration ≥120 ms and <150 ms | MT | ICD | CRT-P | CRT-D | Referent | Dominated | £14 215 | £24 875 |
NYHA III, QRS duration ≥150 ms | MT | ICD | CRT-P | CRT-D | Referent | Dominated | £10 496 | £28 646 |
NYHA IV, QRS duration ≥120 ms and <150 ms | MT | CRT-P | CRT-D | N/A | Referent | £18 664 | £37 104 | N/A |
NYHA IV, QRS duration ≥150 ms | MT | CRT-P | CRT-D | N/A | Referent | £14 500 | £40 449 | N/A |
‘N/A’ represents fewer than four interventions being considered. Options labelled as ‘Dominated’ or ‘Ext Dominated’ do not lie on the frontier.
*Results in NYHA I and IV patients are based on relatively low patient numbers and may be subject to bias due to the nature of trial inclusion criteria for NYHA I patients. For further detail see main text.
CRT, cardiac resynchronisation therapy; CRT-D, combined CRT and ICD device; CRT-P, stand-alone CRT device; ICD, implantable cardioverter defibrillator; LBBB, left bundle branch block; MT, medical therapy; N/A, not applicable; NYHA, New York Heart Association.