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Table 2 Costs, consequences, cost-effectiveness, and clinical outcomes for intervention versus standard care treatment for PPH management

From: Cost-effectiveness and budget impact of adding tranexamic acid for management of post-partum hemorrhage in the Indian public health system

 

TXA + SOC

SOC

Disaggregated societal perspective

  Total costs of PPH management (for an annual cohort of 510915 PPH cases)

INR 3,375,732,060 (USD 48,615,053)

INR 3,314,015,603 (USD 47,726,254)

  Cost of PPH management (per patient)

INR 6607 (USD 95.15)

INR 6486 (USD 93.41)

  QALY – undiscounted (per patient)

44.894

44.712

  QALY – discounted (per patient)

20.250

20.168

  Incremental cost-utility ratio (undiscounted)

INR 663 per QALY gained

  Incremental cost-utility ratio (differential discounting)

INR 1470 per QALY gained

Health system perspective

  Total costs of PPH management (for an annual cohort of 510915 PPH cases)

INR 3,031,950,662 (USD 43,664,142)

INR 2,954,109,215 (USD 42,543,121)

  Cost of PPH management (per patient)

INR 5934 (USD 85.48)

INR 5782 (USD 83.27)

  QALY – undiscounted (per patient)

44.894

44.712

  QALY – discounted (per patient)

20.250

20.168

  Incremental cost-utility ratio (undiscounted)

INR 836 per QALY gained

  Incremental cost-utility ratio (differential discounting)

INR 1854 per QALY gained

Clinical outcomes

  Total number of surgeries (for an annual cohort of 510915 PPH cases)

19,387 (905 averted)

20,293

  Total number of ICU admissions (for an annual cohort of 510915 PPH cases)

27,181 (655 averted)

27,836

  Total number of maternal deaths (for an annual cohort of 510915 PPH cases)

13,923 (1990 averted)

15,913