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Suppose you are tasked with evaluating the merits of a new prostate cancer treatment regimen relative to the current treatment regimen on behalf of a

Suppose you are tasked with evaluating the merits of a new prostate cancer treatment regimen relative to the current treatment regimen on behalf of a US health insurance company. Given the information below, answer the questions that follow.

Cost

Result

Current Treatment

$50,000

4 life-years gained

New Treatment

$75,000

5 life-years gained

  1. Now assume that the new treatment has far fewer side-effects than the current treatment. As a result, the average QALY per life-year gained is 0.8 for the new treatment, compared to 0.5 for the current treatment. Which treatment is more cost-effective in terms of quality-adjusted life-years gained? Why? Show your calculations.
  2. Should the new treatment be considered acceptably cost-effective, given commonly used QALY thresholds in the US? Why or why not?

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