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Table 4 Results of cost-effectiveness and cost-utility analyses

From: Cost-effectiveness of problem-solving treatment in comparison with usual care for primary care patients with mental health problems: a randomized trial

Analysis

Sample size

Outcome

Cost difference (€)

Effect difference

ICER

Distribution CE plane

 

PST

UC

 

(95% CI)

(95%CI)

 

NE

SE

SW

NW

Multiply imputed analysis

88

87

HADS

−2062 (−4698 ; 359)

−0.2 (−3.7 ; 3.2)

8676

2%

55%

40%

3%

 

88

87

QALY*

−2062 (−4698 ; 359)

0.03 (−0.02 ; 0.08)

−65045

4%

88%

7%

1%

Complete cases

56

63

HADS

−2715 (−5858 ; 77)

0.02 (−2.3 ; 2.4)

−113112

1%

48%

49%

2%

 

53

59

QALY*

−3085 (−6300 ; -171)

0.04 (−0.01 ; 0.08)

−83380

2%

94%

4%

0%

NHS perspective†

88

87

HADS

−253 (−1149 ; 476)

−0.2 (−3.7 ; 3.2)

1065

11%

45%

28%

16%

 

88

87

QALY*

−253 (−1149 ; 476)

0.03 (−0.02 ; 0.08)

−7984

23%

69%

4%

4%

Human capital approach

88

87

HADS

−2397 (−5427 ; 393)

−0.2 (−3.7 ; 3.2)

10084

2%

55%

40%

3%

 

88

87

QALY*

−2397 (−5427 ; 393)

0.03 (−0.02 ; 0.08)

−75597

4%

88%

7%

1%

Training costs PST excluded

88

87

HADS

−2035 (5669 ; 1259)

−0.2 (−3.7 ; 3.2)

8564

6%

50%

38%

6%

 

88

87

QALY*

−2035 (5669 ; 1259)

0.03 (−0.02 ; 0.08)

−64198

11%

81%

7%

1%

Per protocol analysis

41

87

HADS

−3220 (−5744 ; -725)

1.5 (−1.5 ; 4.4)

−2943

0%

16%

84%

0%

 

41

87

QALY*

−3220 (−5744 ; -725)

0.03 (−0.03 ; 0.09)

−137279

0%

90%

10%

0%

Observed outliers excluded

88

84

HADS

−1090 (−3492 ; 1175)

−0.3 (−3.8 ; 3.3)

4297

7%

49%

33%

11%

 

88

84

QALY*

−1090 (−3492 ; 1175)

0.03 (−0.02 ; 0.08)

−34498

15%

77%

5%

3%

  1. HADS = Hospital Anxiety and Depression Scale; QALY = Quality-Adjusted Life-Year; NHS = National Health Service.
  2. * adjusted for baseline utility score.
  3. † only direct costs included.