Table 4

Optimal choice of catheter under uncertainty, given different data scenarios

Scenario

Optimal catheter choice

Incremental outcomes with no uncertainty

Average incremental monetary net benefits given uncertaintyb


Catheter type

Probability of error

Costsa

QALYsa

Mean

95% Confidence interval


Baseline

MR

0.62

- $130,289

1.64

948

-106 to 3,792

Low bed day ($335 ICU/$101 ward)

MR

0.76

+ $28,257

1.64

191

-348 to 1,317

High mortality (15%)

MR

0.46

- $106,223

26.65

2,441

116 to 8,516

No utility weights used

MR

0.62

- $130,289

2.33

1,042

-166 to 3,961

Increased length of stay (6.5 days ICU/6 days ward)

MR

0.56

- $282,038

1.64

1,239

-57 to 4,795

Low infection rate (0.8%)

MR

0.75

- $1,972

0.53

325

-71 to 1,283

High infection rate (5.0%)

MR

0.56

- $314,400

3.23

1,725

-139 to 6,455


aRelative to uncoated catheters and per 1,000 catheters; bMonetary net benefits reported per catheter relative to uncoated catheters assuming a willingness-to-pay for a QALY of AUD $40,000.

ICU, intensive care unit; QALY, quality-adjusted life year.

Halton et al. Critical Care 2009 13:R35   doi:10.1186/cc7744

Open Data