Capturing Patient Value in an Economic Evaluation
Authors' conclusion
The conventional ICER (eg, EQ-5D) indicates that e-consultations are cost-effective with cost savings of -€161,000 per QALY gained for a prevalent RA cohort treated in a secondary trainee hospital. RA-specific measures show similar results, with ICERs of -€163,000 per HAQ-DI (QALY) and -€223,000 per RAID (QALY) gained.
Study context
- Population
- Patients with Rheumatoid Arthritis (RA), Maasstad Hospital, the Netherlands (2020–2021)
- Participants
- 772 patients
- Exposure
- E-consultations vs face-to-face consultations
- Outcome
- ICER based on EQ-5D compared with ICERs based on RA-specific measures (RAID, HAQ-DI) expressed in QALYs
Methodological detailssingle-centre, economic evaluation, disease-specific measures expressed in quality-adjusted life-years (QALYs) via estimated conversion equations
- Single-centre
- Economic evaluation
- Disease-specific measures expressed in QALYs via estimated conversion equations
Main finding
As reported in the abstract
Incremental Cost-Effectiveness Ratio (ICER) based on EQ-5D (cost savings per QALY gained)
-€161,000
ICER based on Health Assessment Questionnaire-Disability Index (HAQ-DI) (QALY)
-€163,000
ICER based on Rheumatoid Arthritis Impact of Disease (RAID) (QALY)
-€223,000
Observational data: associations, not effects.
Original publication
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