Heart failure & cardiomyopathies

Cost–Utility of Cardiac Contractility Modulation in Patients with Heart Failure with Reduced Ejection Fraction in Italy

ESC Heart FailPublished Cost-utility analysis

Main finding · Incremental cost-utility ratio (base case)Result — go to the resultIncremental cost-utility ratio €7034 QALY

Authors' conclusion

For patients with heart failure with reduced ejection fraction, CCM therapy could be cost-effective when taking a lifetime horizon.

Study context

Population
Patients with HFrEF in ItalyFIX trials as main data sources
Comparison
Cardiac contractility modulation (CCM) plus optimal medical therapy (OMT) vs OMT alone
Outcome
Incremental cost-utility ratio (€/QALY)
Follow-up
Lifespan time horizon
Methodological detailsMarkov model, lifespan time horizon, deterministic and probabilistic sensitivity analyses, value of information analysis
  • Markov model
  • Lifespan time horizon
  • Deterministic and probabilistic sensitivity analyses
  • Value of information analysis

Main finding

Incremental cost-utility ratio (base case)

Incremental cost-utility ratio

€7034 QALY

As reported in the abstract

Further findings

Probability of being cost-effective (cost-effectiveness acceptability curve (CEAC) and cost-effectiveness acceptability frontier (CEAF))

CCM plus OMT had the highest probability of being cost-effective for all willingness to pay levels above €5600/QALY, tested up to €50 000/QALY

Expected value of perfect information (EVPI) per patient

EVPI per patient at willingness to pay threshold of €30 000/QALY
€124 412

Original publication

Cost–Utility of Cardiac Contractility Modulation in Patients with Heart Failure with Reduced Ejection Fraction in Italy. ESC Heart Fail. Published 9 November 2023. doi:10.1002/ehf2.14538

Composed by AI from the published abstract and checked against it. How Briefs are made →

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