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Table 7 Cost-effectiveness (95% CI) of ART compared to no-ART under different scenarios

From: Cost-effectiveness of anti-retroviral therapy at a district hospital in southern Ethiopia

Strategy

Life time Cost $

Life time incremental cost

Life years gain

Incremental life years gain

Cost effectiveness ($)

Incremental Cost Effectiveness ratio (ICER $)

% change from base case ICER

a)

       

no-ART

264(82–1046)

 

2.4(1.99–2.82)

 

110(36–433)

  

ART

2713(1038–5883)

2448(653–5665)

10.4(9.45–11.23)

8(6.96–8.91)

262(101–564)

307(83–708)

-2.2

b)

       

no-ART

265(85–1148)

 

2.3(1.95–2.73)

 

114(38–504)

  

ART

3022(1486–6054)

2757(1080–5885)

11.4(10.46–12.41)

9.1(8.03–10.18)

264(129–525)

303(121–634)

-3.5

c)

       

no-ART

265(85–1148)

 

2.3(1.95–2.73)

 

114(38–504)

  

ART*

2537(1281–4859)

2273(851–4647)

9.4(8.67–10.05)

7.1(6.24–7.83)

271(137–519)

322(120–662)

2.6

ART**

2576(1313–4937)

2311(844–4740)

9.4(8.67–10.05)

7.1(6.24–7.83)

275(141–525_

328(123–668)

4.5

ART***

2672(1413–5069)

2407(1020–4841)

9.4(8.67–10.05)

7.1(6.24–7.83)

285(151–539)

341(145–684)

8.6

d)

       

no-ART

265(85–1148)

 

2.3(1.95–2.73)

 

114(38–504)

  

ART

1150(621–2099)

886(-100–1924)

4.3(3.99–4.67)

2.0(1.49–2.53)

266(145–482)

441(-49–1009)

40.5

  1. a) if all patients initially start from the non-AIDS state
  2. b) if the model runs until all the patents in the ART cohort die
  3. c) if different amounts of one time additional costs are included for patients dying under the ART scenario
  4. d) if effect of ART is limited to cycles that correspond to the observation period and has no effect thereafter.
  5. (i.e. Treatment effect only for the first 11 cycles)
  6. * if additional cost for dying patients = $70
  7. ** if additional cost for dying patients = $117
  8. *** if additional cost for dying patients = $233