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Table 3 Summary of additional deterministic scenario analyses

From: A cost-effectiveness analysis of ruxolitinib versus best alternative therapy for patients with steroid-refractory chronic graft-versus-host disease aged > 12 years in Singapore

Scenario

Incremental LYs

Incremental QALYs

Incremental costs

ICER

Deterministic base case

0.86

0.80

SGD 540

SGD 677/QALY

Discount rate (0%)

1.63

1.41

SGD 4842

SGD 3446/QALY

Discount rate (5%)

0.59

0.58

SGD 32

SGD 55/QALY

Time horizon 30 years

0.69

0.68

 − SGD 2888

Dominant

Time horizon 50 years

0.95

0.86

SGD 2726

SGD 3168/QALY

OS HR approach

0.72

0.70

SGD 4605

SGD 6593/QALY

OS combined fit alternate curve

0.64

0.63

 − SGD 16,250

Dominant

DoT KM individual treatments

0.86

0.80

 − SGD 31,454

Dominant

DoT KM by treatment arm

0.86

0.80

 − SGD 33,187

Dominant

DoT KM then extrapolated by response

0.86

0.80

SGD 13,876

SGD 17,370/QALY

DoR alternative curve

0.86

0.70

SGD 49,472

SGD 70,758/QALY

Societal perspective

0.86

0.80

 − SGD 27,960

Dominant

Age-adjusted utilities: regression equation

0.86

0.73

SGD 540

SGD 739/QALY

Age-adjusted utilities: Gen pop age category

0.86

0.81

SGD 540

SGD 669/QALY

Single comparator: ECP

0.70

0.68

 − SGD 82,391

Dominant

Single comparator: MMF

0.72

0.70

SGD 63,741

SGD 91,199/QALY

Single comparator: MTX

1.02

0.91

SGD 76,198

SGD 83,448/QALY

BAT distribution based on informal physician survey

0.86

0.80

SGD 11,459

SGD 14,344/QALY

REACH3 BAT distribution

0.86

0.80

SGD 29,764

SGD 37,259/QALY

Include concomitant medicines

0.86

0.80

SGD 535

SGD 670/QALY

Include terminal care costs

0.86

0.80

SGD 666

SGD 833/QALY

Drug costs only

0.86

0.80

SGD 11,229

SGD 14,057/QALY

  1. BAT, best available therapy; DoR, duration of response; DoT, duration of treatment; ECP, extracorporeal photopheresis; Gen pop, general population; HR, hazard ratio; ICER, incremental cost-effectiveness ratio; KM, Kaplan–Meier; LY, life year; MMF, mycophenolate mofetil; MTX, methotrexate; OS, overall survival; QALY, quality-adjusted life year; SGD, Singapore dollar