Table 1

Implications of targeting statin treatment at four CHD risk levels, showing cost per life year gained at 4.5% annual CHD risk, and marginal cost per life year gained by extending treatment to 3.0%, 2.0%, and 1.5% annual CHD risk levels

CHD events per year
4.5%3.0%2.0%1.5%
Main results
Gross discounted, lifelong treatment with simvastatin£5100£8200£10700£12500
Sensitivity analyses
Net discounted, lifelong treatment with simvastatin£4300£7500£10100£11800
Gross undiscounted, lifelong treatment with simvastatin£3200£4500£5500£6100
Gross discounted, 5 year treatment with simvastatin£8200£15800£22100£26800
Gross discounted, lifelong treatment with pravastatin£7400£12000£15600£18200
Gross discounted, lifelong treatment with simvastatin
RRR 34% (4S)£6600£7300
RRR 22% (WOSCOPS)£10700£11800
  • RRR, relative risk reduction for all cause mortality. These sensitivity analyses do not apply to 4.5% and 1.5% CHD risk levels because these estimates were based directly on trial results.