Transcript Some sample QALYs (2002 dollars) Harvard Public Health

Some sample QALYs (2002 dollars)
Harvard Public Health Review (Fall 2004)
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< $0 (If the cost per QALY is less than zero, the intervention actually saves
money)
Flu vaccine for the elderly
Under $10,000
Beta-blocker drugs post-heart attack in high-risk patients
$10,000 to $20,000
Combination antiretroviral therapy for certain patients infected with the AIDS virus
$15,000 to $20,000
Colonoscopy every five to 10 years for women age 50 and up
$20,000 to $50,000
Antihypertensive medications in adults age 35-64 with high blood pressure but no
coronary heart disease
Lung transplant in UK (Anyanwu AC et al. J Thorac Cardiovasc Surg 2002;123:411-420)
$50,000-$100,000
Dialysis for patients with end-stage kidney disease
Antibiotic prophylaxis during dental procedures for persons at moderate to high risk
of bacterial endocarditis ($88,000) (Med Decis Making. 2005;25(3):308-20)
Over $500,000
CT and MRI scans for children with headache and an intermediate risk of brain
tumor
COST/QALY: Selected Medicare services
Condition/Treatment
Cost per QALY
Treatment for Erectile Dysfunction
$6,400/QALY
*Physician Counseling for Smoking
$7,200/QALY
Total Hip Replacement
$9,900/QALY
*Outreach for Flu and Pneumonia
$13,000/QALY
Treatment of Major Depression
$20,000/QALY
Gastric Bypass Surgery
$20,000/QALY
Treatment for Osteoporosis
$38,000/QALY
*Screening For Colon Cancer
$40,000/QALY
Implantable Cardioverter Defibrillator
$75,000/QALY
Lung-Volume Reduction Surgery
$98,000/QALY
Tight Control of Diabetes
$154,000/QALY
*Treating Elevated Cholesterol ( + 1 risk factor)
$200,000/QALY
Resuscitation After Cardiac Arrest
$270,000/QALY
Left Ventricular Assist Device
$900,000/QALY