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Table 9 Scenario analyses results

From: Insulin glargine compared to neutral protamine Hagedorn (NPH) insulin in patients with type-2 diabetes uncontrolled with oral anti-diabetic agents alone in Hong Kong: a cost-effectiveness analysis

 

Glargine

NPH

Incremental

Mean (SD)

CI (low–high)

Mean (SD)

CI (low–high)

Mean

CI (low–high)

Scenario 1: LEAD study baseline cohort

 QALY

7.822 (0.108)

7.816–7.829

7.599 (0.11)

7.592–7.606

0.224

0.214–0.233

 Combined costs

774,826 (45,795)

771,988–777,664

750,724 (48,371)

747,726–753,722

24,102

20,692–27,511

 ICER

    

107,791

88,809–128,559

Scenario 2: split between SHE1:SHE2 as 1:1

 QALY

7.83 (0.101)

7.823–7.836

7.561 (0.103)

7.554–7.567

0.269

0.26–0.278

 Combined costs

766,965 (46,814)

764,063–769,866

764,116 (46,878)

761,210–767,021

2848

− 644 to 6341

 ICER

    

10,583

− 2317 to 24,391

Scenario 3: efficacy adjusted for both treatment arms

 QALY

7.81 (0.107)

7.803–7.816

7.673 (0.104)

7.667–7.68

0.137

0.127–0.146

 Combined costs

772,351 (48,678)

769,334–775,368

737,801 (50,299)

734,683–740,918

34,550

30,814–38,285

 ICER

    

253,115

211,061–301,461

Scenario 4: using PROcam risk equations

 QALY

7.06 (0.101)

7.054–7.066

6.87 (0.095)

6.864–6.876

0.19

0.181–0.199

 Combined costs

674,151 (42,343)

671,527–676,776

658,559 (41,865)

655,964–661,153

15,592

12,621–18,563

 ICER

    

82,023

63,427–102,560

Scenario 5: using UKPDS 82 risk equations

 QALY

7.837 (0.12)

7.829–7.844

7.63 (0.113)

7.623–7.637

0.206

0.196–0.217

 Combined costs

686,804 (48,701)

683,785–689,823

670,520 (48,519)

667,512–673,527

16,284

12,703–19,865

 ICER

    

78,897

58,540–101,355

  1. Values are expressed as mean (standard deviation)
  2. ICER incremental cost-effectiveness ratio, QALY quality-adjusted life-year, SHE1 severe hypoglycaemic event (not requiring medical assistance), SHE2 severe hypoglycaemic event (requiring medical assistance)