Skip to main content

Table 1 Cost-effectiveness analyses comparing IMRT and 3D-CRT for prostate cancer

From: Model-based cost-effectiveness analysis of external beam radiation therapy for the treatment of localized prostate cancer: a systematic review

Study (authors, year)

Target population risk group

Time horizon/cycle length

Perspective/country

Data sources

Discount rate for costs and outcomes

Model type/type of evaluation/sensitivity analysis

Effectiveness data

Cost data/year

Carter et al. (2014) [11]

Hypothetical cohort of 65 years patients receiving radiotherapy to the prostate bed

20 years/1 year

3rd party payer perspective/Australia

Literature sources and their clinical interpretation, expert opinions

Literature sources, AR-DRG cost weights, medicare benefits schedule, pharmaceutical benefits schedule

Annual discount rate of 5% was used for costs and outcomes

Markov model/cost-utility analysis/one-way and probabilistic sensitivity analysis

Hummel et al. (2012) [12]

70-year-old-man with well-differentiated tumor

Lifetime/NA

Payer NHS/UK

Systematic literature review

Single-centre hospital costs, literature sources, expert opinion/2008

Costs and QALYs were discounted at a rate of 3.5% per year

Discrete event simulation model/cost-utility analysis/one-way and probabilistic sensitivity analysis

Konski et al. (2005) [13]

70-year-old man with a good and intermediate-risk prostate cancer

10 years

Payer US medicare

Administrative data: billing department at the Fox Chase Cancer Center

Medicare insurance

 

Markov model

Konski et al. (2006) [14]

70-year-old intermediate risk patients

15 years/1 year

3rd payer medicare perspective/US

Literature sources

Literature sources, drug red book/2005

Cost and benefits were discounted at 3% per year

Markov model/cost-utility analysis/probabilistic sensitivity analysis

Yong et al. (2012) [15]

Cohort of 70-year-old men with localized prostate cancer

Lifetime/1 month

Health system perspective/Canada

Literature sources

Activity-based costing, Ontario physician fee schedule, OCCI ambulatory care Ontario laboratory fee schedule, literature sources, drug formularies/2009

5% discount rate was used to adjust costs and quality-adjusted life-years

Markov model/cost-utility analysis/one-way sensitivity analysis

Cooperberg et al. (2013) [16]

Men aged 65 years old with low-risk, intermediate-risk, or high-risk prostate cancer

Lifetime

Payer US medicare

Literature review

Medicare cost data

Costs and QALY were discounted at 3% annually

Markov model

Zemplenyi et al. (2016) [17]

Low-, mid, and high-risk patients with localized prostate cancer

10 years/1 month

3rd party payer perspective/Hungary

Literature sources (three retrospective cohort studies and two RCTs)

Single-center cost collection study (micro-costing)

Costs and the quality-adjusted life years were discounted at a rate of 3.7% per year

Markov model cost-utility analysis/one-way and probabilistic sensitivity analysis, subgroup analysis