Table 96One-way sensitivity analyses (Probabilities and health outcomes): incremental cost per QALY gained

LowHigh
Screen vs. NurseScreen vs. Don’t TreatScreen vs. NurseScreen vs. Don’t Treat
Probabilities
x1Prevalence of patients at moderate or high risk of malnutrition3,1737,3906,1887,109
x2sensitivity of screening tool3,1277,408N/AN/A
x3specificity of screening tool5,4607,575N/AN/A
x4sensitivity of Nurse strategy5,362N/A4,247N/A
x5specificity of Nurse strategy3,982N/A7,380N/A
Health outcomes
o1Mortality (daily)5,45525,7264,9296,276
o2Relative risk - mortality - malnourished treated4,9236,0344,548Don't treat dominates
o3Duration of risk change5,22217,1094,9246,075
Mortality rate reverts to population rate after follow-up period5,16815,1194,9286,208
o4HRQL5,4507,9463,7335,443
o5HRQL – reduction due to untreated malnutritionN/AN/A9151,333

From: Appendix Five, Cost-Effectiveness Analysis of Malnutrition Screening

Cover of Nutrition Support for Adults
Nutrition Support for Adults: Oral Nutrition Support, Enteral Tube Feeding and Parenteral Nutrition.
NICE Clinical Guidelines, No. 32.
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