Table 1

EQ-5D utility, costs and estimated QALYs for subgroups with different baseline OKS

OKS decile10 (worst)987654321 (best)All patients
Baseline OKS range<99–1112–1314–1516–1718–1920–2122–2425–27>270–48
No. of KAT participants2042131862321932241952561942342131
EQ-5D utility (SE)*
 Baseline0.03 (0.004)0.14 (0.005)0.21 (0.006)0.25 (0.006)0.36 (0.006)0.46 (0.006)0.55 (0.005)0.57 (0.004)0.61 (0.004)0.67 (0.003)0.39 (0.002)
 3 months0.54 (0.007)0.58 (0.006)0.64 (0.006)0.66 (0.005)0.71 (0.005)0.71 (0.005)0.70 (0.004)0.74 (0.004)0.75 (0.005)0.77 (0.004)0.68 (0.002)
 1 year0.51 (0.007)0.60 (0.007)0.68 (0.006)0.70 (0.006)0.71 (0.006)0.75 (0.005)0.69 (0.006)0.78 (0.004)0.79 (0.005)0.84 (0.004)0.71 (0.002)
 2 year0.49 (0.008)0.54 (0.007)0.66 (0.007)0.67 (0.006)0.68 (0.007)0.73 (0.005)0.66 (0.007)0.76 (0.005)0.78 (0.005)0.81 (0.005)0.68 (0.002)
 3 years0.47 (0.008)0.53 (0.007)0.64 (0.007)0.63 (0.006)0.67 (0.007)0.71 (0.006)0.68 (0.007)0.72 (0.005)0.76 (0.006)0.79 (0.006)0.66 (0.002)
 4 years0.43 (0.008)0.49 (0.008)0.61 (0.007)0.62 (0.007)0.65 (0.007)0.68 (0.007)0.64 (0.007)0.70 (0.006)0.71 (0.007)0.75 (0.006)0.63 (0.002)
 5 years0.43 (0.008)0.50 (0.008)0.57 (0.008)0.58 (0.007)0.63 (0.007)0.67 (0.007)0.59 (0.007)0.68 (0.006)0.67 (0.008)0.73 (0.007)0.61 (0.002)
Total cost (SE)£8657 (£157)£7715 (£81)£7495 (£73)£7081 (£63)£7185 (£69)£7567 (£82)£7619 (£102)£7128 (£61)£7399 (£94)£6917 (£67)£7458 (£28)
QALYs with TKR (SE)2.17 (0.029)2.48 (0.027)2.94 (0.024)2.99 (0.022)3.13 (0.025)3.30 (0.022)3.09 (0.025)3.40 (0.019)3.50 (0.020)3.67 (0.020)3.08 (0.025)
QALYs without TKR (SE)0.15 (0.02)0.62 (0.022)0.94 (0.026)1.14 (0.026)1.63 (0.029)2.04 (0.026)2.39 (0.026)2.55 (0.021)2.78 (0.02)3.02 (0.02)1.75 (0.031)
QALY gain from TKR (SE)2.02 (0.032)1.86 (0.031)2.00 (0.033)1.85 (0.031)1.51 (0.034)1.26 (0.030)0.69 (0.027)0.85 (0.023)0.73 (0.02)0.65 (0.02)1.33 (0.01)
ICER£4295£4153£3747£3836£4770£6007£10 971£8391£10 167£10 697£5623
  • * EQ-5D utility is measured on a scale from 1 (perfect health) to −0.594, where 0 is equivalent to death.

  • Discounted at 3.5% per annum.

  • ICER, incremental cost-effectiveness ratio; KAT, Knee Arthroplasty Trial; OKS, Oxford Knee Score (new scoring system running from zero (severe problems on all functions) to 48 (no problems))41; QALY, quality-adjusted life year; SE, standard error around the mean; TKR, total knee replacement.