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Table 3 Cost-effectiveness results of vaginal birth after caesarean versus elective repeat caesarean per woman, €a

From: Vaginal birth after caesarean versus elective repeat caesarean delivery after one previous caesarean section: a cost-effectiveness analysis in four European countries

Model Vaginal birth after caesarean Elective repeat caesarean delivery ICER Total costs (€) Total utilities (QALY)
  Cost (€) Utility (QALY) Cost (€) Utility (QALY) (€/QALY)   
Six-week time horizon
Belgium       −15,271,888 7503
 Deterministic 4862 0.84 5167 0.69 − 2035   
 Probabilistic 4852 0.84 5171 0.69 − 2127   
Germany       −3,334,052 7561
 Deterministic 4921 0.85 4988 0.70 −441   
 Probabilistic 4921 0.85 4985 0.70 −423   
Ireland       −66,162,379 6689
 Deterministic 6056 0.84 7379 0.70 − 9890   
 Probabilistic 6057 0.84 7380 0.70 −9886   
Italy       −19,465,446 6399
 Deterministic 4167 0.83 4556 0.70 −3042   
 Probabilistic 4163 0.83 4552 0.70 − 3026   
Litetime time horizon
Belgium       1,386,210 376
 Deterministic 5281 34.79 5254 34.79 3669   
 Probabilistic 5239 34.79 5251 34.77 − 596   
Germany       8,481,119 662
 Deterministic 5222 19.12 5052 19.11 12,817   
 Probabilistic 5147 19.12 5051 19.10 8609   
Ireland       −53,955,166 558
 Deterministic 6363 18.64 7442 18.63 −96,753   
 Probabilistic 6363 18.64 7442 18.63 −60,905   
Italy       −6,558,036 411
 Deterministic 4488 26.44 4619 26.43 −15,965   
 Probabilistic 4414 26.44 4618 26.42 −10,633   
  1. QALY quality adjusted life year, ICER incremental cost-effectiveness ratio
  2. a Currency in 2016 euros (€) [49]