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Strategy Cost ($) QALYs Saved Incremental Cost ...

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Question

Accounting

Strategy

Cost ($)

QALYs Saved

Incremental Cost

Incremental QALY

Incremental CE ratio

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

  1. Identify all dominated screening strategies. Explain why each is dominated.

  1. Calculate the incremental cost, incremental QALYs, and incremental CE ratios for all economically rational strategies (Incremental CE = incremental cost/incremental QALYs). Why are these considered economically rational?

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

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