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Table 5 Cost per QALY gained for men with low risk localised prostate cancer

From: The cost-effectiveness of active surveillance compared to watchful waiting and radical prostatectomy for low risk localised prostate cancer

Age (years)

Life-time outcome

Watchful waiting

Active surveillance

Radical prostatectomy

Incremental analysis

45

Cost (NZ$)

$15,884

$23,396

$22,316

RP vs WW: $6,432 per QALY;

Effectiveness (QALYs)

15.43

16.34

16.43

AS was dominated by RP

50

Cost (NZ$)

$14,192

$21,115

$20,991

RP vs WW: $7,906 per QALY;

Effectiveness (QALYs)

14.49

15.24

15.35

AS was dominated by RP

55

Cost (NZ$)

$12,258

$18,484

$19,612

RP vs WW: $10,358 per QALY; AS was extended dominated by WW and

RP (AS vs WW: $10,377 per QALY; RP vs AS: $10,255 per QALY)

Effectiveness (QALYs)

13.37

13.97

14.08

 

60

Cost (NZ$)

$10,113

$15,461

$18,254

AS vs WW: $12,155 per QALY;

Effectiveness (QALYs)

12.08

12.52

12.65

RP vs AS: $21,485 per QALY

65

Cost (NZ$)

$7,843

$11,998

$16,972

AS vs WW: $14,839 per QALY;

Effectiveness (QALYs)

10.62

10.90

11.05

RP vs AS: $33,160 per QALY

70

Cost (NZ$)

$5,560

$7,976

$15,821

AS vs WW: $17,257 per QALY;

Effectiveness (QALYs)

9.03

9.17

9.35

RP vs AS: $43,583 per QALY

  1. RP radical prostatectomy, AS active surveillance, WW watchful waiting