Strategy | Costs per HCW (€) | QALYs | Incremental C/E ratio |
Low HCV transmission risk | |||
Baseline-US | 77.70 | 23.2498 | |
European | 125.60 | 23.2551 | Weakly dominated* |
Alternative-US | 149.70 | 23.2616 | €6102 |
French | 152.00 | 23.2501 | Strongly dominated† |
High HCV transmission risk | |||
European | 525.00 | 23.1870 | |
Alternative-US | 540.30 | 23.2090 | €695 |
French | 550.70 | 23.1850 | Strongly dominant† |
Baseline-US | 740.60 | 23.0830 | Strongly dominant† |
*A weakly dominated strategy indicates a higher incremental C/E ratio than that of a more effective alternative strategy—that is, i.e. the incremental C/E ratio of the European strategy vs the baseline-US is higher than the incremental C/E ratio of the alternative-US strategy vs the European strategy (with low HCV transmission risk).
†A strongly dominated strategy indicates a higher cost than that of a more effective alternative strategy—that is, the French strategy is associated with a higher cost and a lower utility compared with the alternative-US strategy (with low HCV transmission risk), and the French and baseline-US strategies are associated with higher costs and lower utilities compared with the European strategy (with high HCV transmission risk).
C/E, cost-effectiveness; HCV, hepatitis C virus; HCW, healthcare worker; QALY, quality-adjusted life year.