Table 4

Deterministic sensitivity analysis cost-effectiveness results

Usual care (usual care)Intervention (early PRP)
Patients in the intervention arm receive PRP treatment at the early PDR or early PDR and CSDMO instead of the severe NPDR or severe NPDR or CSDMO stage.
 Total mean costs (£)£3853£3725
 Total mean QALYs7.82367.8645
 ICER (cost per QALY gained)Dominated
PRP treatment is administered in one sitting (two laser treatments for two eyes) or in four sittings (eight laser treatments for two eyes) instead of two sittings (four laser treatments for two eyes). We have assumed that the risk of DMO remains the same.
One sitting
 Total mean costs (£)£3762£2452
 Total mean QALYs7.82367.9572
 ICER (cost per QALY gained)Two sittings are dominated by one sitting
Four sittings
 Total mean costs (£)£4035£3353
 Total mean QALYs7.82367.9572
 ICER (cost per QALY gained)Two sittings are dominated by four sittings.
  • CSDMO, clinically significant diabetic macular oedema; DMO, diabetic macular oedema; ICER, incremental cost-effectiveness ratio; NPDR, non-proliferative diabetic retinopathy; PDR, proliferative diabetic retinopathy; PRP, panretinal photocoagulation; QALYs, quality-adjusted life years.