Research Article

Cost-Effectiveness of Anticoagulation in Patients with Nonvalvular Atrial Fibrillation with Edoxaban Compared to Warfarin in Germany

Table 3

Base-case values and ranges for costs used in sensitivity analyses for NOACs.

VariableEdoxaban 30 mgEdoxaban 60 mgRefDabigatran
110 mg bid
Dabigatran
bid 150 mg
Ref
[5]
RivaroxabanRef
[5]
ApixabanRef
[5]

Costs
 Daily cost of medicine (euro)
  NOAC3.37 (0.00–5.00)3.37 (0.00–5.00)Ass3.38 (0.00–5.00)3.38 (0.00–5.00)[26]3.20 (0.00–5.00)[26]3.54 (0.00–5.00)[26]
  Warfarin0.20 (0.00–1.00)0.20 (0.00–1.00)[26]0.20 (0.00–1.00)0.20 (0.00–1.00)[26]0.20 (0.00–1.00)[26]0.20 (0.00–1.00)[26]
  Costs per INR determination0.64 (0.46–0.79)0.64 (0.46–0.79)Ass0.64 (0.46–0.79)0.64 (0.46–0.79)Ass0.64 (0.46–0.79)Ass0.64 (0.46–0.79)Ass
 One-time costs of neurologic event
 (stroke or intracranial hemorrhage) (euro)
  Serious7 000 (901–46 558)7 000 (901–46 558)[14]7 000 (901–46 558)7 000 (901–46 558)[14]7 000 (901–46 558)[14]7 000 (901–46 558)[14]
  Moderate4 233 (901–46 558)4 233 (901–46 558)[14]4 233 (901–46 558)4 233 (901–46 558)[14]4 233 (901–46 558)[14]4 233 (901–46 558)[14]
  Mild3 942 (2 014–4 233)3 942 (2 014–4 233)[14]3 942 (2 014–4 233)3 942 (2 014–4 233)[14]3 942 (2 014–4 233)[14]3 942 (2 014–4 233)[14]
 One-time costs for myocardial infarction
 (euro)
10 000 (2 743–48 023)10 000 (2 743–48 023)[14]10 000 (2 743–48 023)10 000 (2 743–48 023)[14]10 000 (2 743–48 023)[14]10 000 (2 743–48 023)[14]
 One-time costs for hemorrhage (euro)
  Major hemorrhage2 500 (891–5 415)2 500 (891–5 415)[23]2 500 (891–5 415)2 500 (891–5 415)[23]2 500 (891–5 415)[23]2 500 (891–5 415)[23]
  Minor hemorrhage50 (0.00–100)50 (0.00–100)Ass50  (0.00–100)50 (0.00–100)Ass50 (0.00–100)Ass50 (0.00–100)Ass
 Rehabilitation costs (euro)
  Annual ambulant rehabilitation costs2 300 (1 800–2 800)2 300 (1 800–2 800)[43]2 300 (1 800–2 800)2 300 (1 800–2 800)[43]2 300 (1 800–2 800)[43]2 300 (1 800–2 800)[43]
  Inpatient rehabilitation costs per patient8 000 (2 000–14 000)8 000 (2 000–14 000)[43]8 000 (2 000–14 000)8 000 (2 000–14 000)[43]8 000 (2 000–14 000)[43]8 000 (2 000–14 000)[43]
  Annual costs for further medical treatment2 900 (2 300–4 000)2 900 (2 300–4 000)[43]2 900 (2 300–4 000)2 900 (2 300–4 000)[43]2 900 (2 300–4 000)[43]2 900 (2 300–4 000)[43]
 Costs in case of death (euro)2 5002 500[14]2 5002 500[14]2 500[14]2 500[14]
Discounting (%)5 (0–10)5 (0–10)[9, 10, 24]5 (0–10)5 (0–10)[9, 10, 24]5 (0–10)[9, 10, 24]5 (0–10)[9, 10, 24]

Ref = reference; Ass = assumption.