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Table 4 Simulated economic outcomes in the Diabetes Prevention Program intervention groups over a lifetime: Sensitivity analyses

From: The cost-effectiveness of diabetes prevention: results from the Diabetes Prevention Program and the Diabetes Prevention Program Outcomes Study

Variable

Lifestyle Intervention vs. Placebo Intervention

Metformin Intervention vs. Placebo Intervention

 

∆ Cost, $

∆ QALYa

∆ Cost/∆ QALY, $

∆ Cost, $

∆ QALYa

∆ Cost/∆ QALY,$

Base-case analysis

635

0.57

1,124

3,922

0.13

31,286

 Age 25–44 y

−395

0.63

Cost-saving

2,574

0.27

9,573

 Age 45–54 y

489

0.63

781

4,024

0.13

30,013

 Age 55–64 y

1,807

0.53

3,409

4,413

0.07

64,904

 Age 65–74 y

2,617

0.39

6,646

4,119

0.02

173,593

 Age ≥ 75 y

2,508

0.21

11,700

3,255

0.01

273,207

Reduced costb

-3,696

0.57

Cost-saving

220

0.13

1,755

20 % reduced effectiveness

1,417

0.46

3,102

4,084

0.11

38,145

50 % reduced effectiveness

2,371

0.30

7,886

4,307

0.80

52,562

Reduced costb and 20 % reduced effectiveness

-2,181

0.41

Cost-saving

635

0.10

6,576

Reduced costb and 50 % reduced effectiveness

-348

0.23

Cost-saving

1,198

0.06

20,994

  1. a QALY quality-adjusted life-year
  2. bAssumes that lifestyle intervention is implemented in a closed group of 10 patients and that metformin intervention is implemented with generic metformin