Calculating a Marginal Cost-Effectiveness Ratio

Strategy

Cost* ($)

Effectiveness (QALY)

Marginal Cost ($)

Marginal Effectiveness (QALY)

Marginal Cost- Effectiveness Ratio ($/QALY)

Analysis 1 (2 strategies)

No antiarrhythmic therapy

78,300

7.42

ICD

131,400

7.87

53,100

0.45

118,000

Analysis 2 (3 strategies)

No antiarrhythmic therapy

78,300

7.42

96,800

7.69

18,500

0.27

68,519

ICD

131,400

7.87

34,600

0.18

192,222

* For illustrative purposes only.

ICD = implantable cardioverter defibrillator; QALY =quality-adjusted life year.