What is the total cost for the survivors receiving treatment

Reference no: EM131469695

Health Economics - Economic Evaluation Homework

The following are a few problems to solve related to Economic Evaluation. Please circle numeric answers and show all work to get credit. Please upload it when you are finished.

Q1. An article in JAMA by Mandelblatt et al (2002) compared the societal costs and benefits of human papillomavirus (HPV) testing, Pap testing, and their combination to screen for cervical cancer. The following table summarizes some of the results (low cost to high cost). Costs include screening and treatment costs, discounted over the individual's expected lifetime.

Strategy	Cost ($)	QALYs Saved	Incremental Cost	Incremental QALY	Incremental CE ratio (ICER)
0. No screening	5,000	26.87	-	-	-
1. Pap every 3 years to age 75	6,825	27.02
2. HPV every 3 years to age 75	6,950	27.02
3. Pap every 2 years to age 75	7,275	27.04
4. Pap + HPV every 3 years to age 75	7,400	27.04
5. HPV every 2 years to age 75	7,450	27.04
6. Pap + HPV every 2 years to age 75	7,925	27.05

a. Identify all dominated screening strategies. Recall a strategy is dominated if it costs more than an equally or more effective strategy, or it is less effective than another strategy that costs the same or less. List the strategy number(s) here.

b. Fill in the table above. Calculate the incremental cost, incremental QALYs, and ICERs for all economically rational strategies (relative to strategy 0, no screening).

c. The local health district has asked your opinion on the "best" strategy from a public health perspective. What do you tell them?

Q2. The following information has been gathered on the costs and effectiveness of the two treatments, A and B. In this problem, costs and consequences are not discounted.

	Treatment A	Treatment B
Mortality rate	2%	5%
Life expectancy for survivors	20 years	10 years
Initial treatment cost	$10,000	$3,000
Follow up costs, year 1	$5,000	$1,000
Annual follow up costs, all subsequent years	$1,000	$500

a. What is the total cost for the survivors receiving treatment A?

For decedents (assuming sudden death)?

b. What is the total cost for survivors receiving treatment B?

For decedents?

c. What is the expected cost for those patients receiving treatment A?

d. Treatment B?

e. Draw a simple decision tree showing the costs and consequences of each treatment option.

f. What treatment should be chosen, if lowest cost per benefit is the criterion?

Reference no: EM131469695

Questions Cloud

Recompute three-sigma limit after eliminating control points : A manufacturer of photographic film produces an average of 12,000 rolls of various types of film each day. An inspector samples 25 from each day's production.

Analyze how the four steps of the control process : Analyze how the four steps of the control process and explain how each step contributes to the control function. Describe the three types of controls.

What is the probability that more machines require work : Consider the example of Applied Machines presented in Problem. Based on the estimate of the probability that a machine is sent back for rework computed.

How would you rate yourself as a confident decision maker : Business Assignment- How would you rate yourself as a confident decision maker? What can you do to improve your confidence in making decisions?

What is the total cost for the survivors receiving treatment : Health Economics - Economic Evaluation Homework. What is the total cost for the survivors receiving treatment A? Draw a simple decision tree showing the costs

What are the three-sigma control limits : Based on the exact Poisson distribution, what is the proportion of the rolls that pass inspection? Estimate the answer to part (a) using the normal approximate.

Create a c++ program using function : Create a C++ program with the use of idea where user can insert data, edit the current data, delete data , search the data by name.

How you would go about creating the given system : Explain to your employer how you would go about creating this system. How you would determine which competencies are most important to your employer.

What is the proportion of the rolls that pass inspection : Amertron, discussed in Problem, has established a policy of passing rolls of wire having five or fewer defects.

User Account

All Pages