Strategy Cost ($) QALYs Saved Incremental Cost Incremental QALY Incremental CE ratio 0 No screening 5,000 26 87 1 Pap every 3 years to age 75 6,825 27 02 2 HPV every 3 years to age 75 6,950 27 02 3 Pap every 2 years to age 75 7,275 27 04 4 Pap HPV every 3 years to age 75 7,400 27 04 5 HPV every 2 years to age 75 7,450 27 04 6 Pap HPV every 2 years to age 75 7,925 27 05 Identify all dominated screening strategies Explain why each is dominated Calculate the incremental cost, incremental QALYs, and incremental CE ratios for all economically rational strategies (Incremental CE incremental cost incremental QALYs) Why are these considered economically rational The local health district has asked your opinion on the best strategy from a public health perspective What do you tell them

Question

Strategy Cost ($) QALYs Saved Incremental Cost Incremental QALY Incremental CE ratio 0  No screening 5,000 26 87       1  Pap every 3 years to age 75 6,825 27 02 2  HPV every 3 years to age 75 6,950 27 02 3  Pap every 2 years to age 75 7,275 27 04 4  Pap   HPV every 3 years to age 75 7,400 27 04 5  HPV every 2 years to age 75 7,450 27 04 6  Pap   HPV every 2 years to age 75 7,925 27 05 Identify all dominated screening strategies  Explain why each is dominated  Calculate the incremental cost, incremental QALYs, and incremental CE ratios for all economically rational strategies (Incremental CE   incremental cost incremental QALYs)  Why are these considered economically rational  The local health district has asked your opinion on the best strategy from a public health perspective  What do you tell them

Accepted Answer

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Strategy	Cost ($)	QALYs Saved	Incremental Cost	Incremental QALY	Incremental CE ratio
0. No screening	5,000	26.87	-	-	-
1. Pap every 3 years to age 75	6,825	27.02
2. HPV every 3 years to age 75	6,950	27.02
3. Pap every 2 years to age 75	7,275	27.04
4. Pap + HPV every 3 years to age 75	7,400	27.04
5. HPV every 2 years to age 75	7,450	27.04
6. Pap + HPV every 2 years to age 75	7,925	27.05

Question

Strategy Cost ($) QALYs Saved Incremental Cost Incremental QALY Incremental CE ratio 0. No screening 5,000 26.87 - - - 1. Pap every 3 years

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