Heart failure & cardiomyopathiesResearch article

Deterministic Economic Modelling Study of Tafamidis in Transthyretin Amyloid Cardiomyopathy Across Four European Healthcare Systems

Eur Heart J Qual Care Clin OutcomesPublished

  • deterministic modelling study
  • case-scenarii based on various assumptions
  • sensitivity analysis

Authors' conclusion

While tafamidis offers a significant improvement in patients’ quality of life and survival, these exploratory scenario-based estimates showing high cost-effectiveness ratio in some European countries, may raise public health and cost management concerns.

Study context

Population
Patients with transthyretin amyloid cardiomyopathy (ATTR-CM) in France, Spain, Germany and the United Kingdom (UK)
Comparison
incremental cost-effectiveness ratio (ICER) of tafamidis compared with standard care

Main finding

As reported in the abstract

Incremental cost-effectiveness ratio (ICER)

France

€398,136/QALY gained

Germany

€1,398,706/QALY gained

Further findings

Sensitivity analysis: probability of cases below the acceptability threshold of €100,000/QALY

France
27.4%
Spain
0.2%
Germany
13%
UK
9%
Large variations of the ICER

Original publication

Deterministic Economic Modelling Study of Tafamidis in Transthyretin Amyloid Cardiomyopathy Across Four European Healthcare Systems. Eur Heart J Qual Care Clin Outcomes. Published 18 August 2026. doi:10.1093/ehjqcco/qcag129

Summarised from the published abstract; every number is checked against it