Table 4 Summary of probabilistic cost-effectiveness results of scenario analyses using list prices.

From: Cost-effectiveness of anti-vascular endothelial growth factor and macular laser treatments for people with centre-involving diabetic macular oedema and central retinal thickness of at least 400 micrometres

Scenario

Treatment ranking best

NMBa [95% CI]

Treatment ranking 2nd best

NMBa [95% CI]

Treatment ranking 3rd best

NMBa [95% CI]

Base-case

Subthreshold laser

£174,414

[£160,952 – £187,227]

Bevacizumab

£174,916

[£161,429 – £187,533]

Standard laser

£173,646

[£159,605 – £187,244]

Treatment efficacy ceased and natural history starts from 20 years

Bevacizumab

£174,859

[£161,619 – £189,552]

Subthreshold laser

£174,238

[£160,078 – £189,540]

Standard laser

£173,961

[£160,318 – £188,203]

Treatment efficacy ceased and natural history starts from 10 years

Subthreshold laser

£172,451

[£159,238 – £185,078]

Standard laser

£171,984

[£158,276 – £185,321]

Bevacizumab

£171,813

[£159,075 – £184,042]

Treatment efficacy ceased and natural history starts from 5 years

Subthreshold laser

£169,896

[£156,990 – £182,867]

Standard laser

£169,513

[£156,438 – £182,680]

Bevacizumab

£167,528

[£154,558 – £180,516]

25% of people continue treatment after 5 years

Bevacizumab

£175,816

[£162,789 – £188,051]

Bevacizumab + Standard laser

£174,313

[£161,091 – £186,674]

Subthreshold laser

£174,172

[£160,535 – £188,263]

75% of people continue treatment after 5 years

Bevacizumab

£174,689

[£161,288 – £187,777]

Subthreshold laser

£174,617

[£159,793 – £187,239]

Standard laser

£174,151

[£160,186 – £188,096]

Treatment occurs in a separate visit from monitoring

Subthreshold laser

£173,774

[£160,234 – £187,907]

Standard laser

£173,553

[£159,898 – £187,748]

Bevacizumab

£172,929

[£159,819 – £186,044]

Monitoring and treatment assumption (minimum)

Bevacizumab

£177,514

[£164,053 – £191,212]

Subthreshold laser

£174,987

[£160,622 – £189,146]

Standard laser

£174,647

[£159,315 – £189,187]

Monitoring and treatment assumption (maximum)

Subthreshold laser

£172,953

[£158,548 – £187,519]

Standard laser

£172,497

[£158,394 – £186,878]

Bevacizumab

£171,971

[£159,158 – £185,572]

  1. a NMB was calculated using the formula [(QALYs x £20,000) – Cost]; the strategy having the highest NMB considered the most cost-effective.
  2. DMO diabetic macular oedema, NMB net monetary benefit, QALYs quality-adjusted life years.