1 Following are economic and health outcome data from a scre

1. Following are economic and health outcome data from a screening study (TABLE 1). (Points 5) Determine which screening strategy you would choose if you were prepared to pay $50,000 per QALY gained (use the discounted quality adjusted life expectancy (QALE). Hint: table 1 is all that is required and pay attention to the duration of the outcomes Life time |Quality Adjusted Incremental Incremental | Incremental Incremental costs Life Expectancy LifetimeQALE (5) (months) Costs (months)(years) (SIQALY) Strategy QALECE Ratios 571.08 A. No screening 4,130 B. Every 3 years 5,178 572.87 C. Every 2 years 5,583 D. Every 1 year 6,676 573.57 E. Every 6 573.19 8,744 573.74 months

Solution

Strategy Lifetimme Costs ($) QALE (Months) Incremental Lifetime Inremental QALE(Months) Inremental QALE (Years) Incremental C/E ratio A. No Screenig 4130 571.08 B. Every 3 years 5178 572.87 1048 1.79 0.149166667 7025.698324 C.Every 2 years 5583 573.19 405 0.32 0.026666667 15187.5 D. Every 1 year 6676 573.57 1093 0.38 0.031666667 34515.78947 E.Every 6 months 8744 573.74 2068 0.17 0.014166667 145976.4706