Table 4

Differences in pooled means costs and effects, ICERs and the distribution of incremental cost-effectiveness pairs around the quadrants of the CE planes (main analysis)

Outcome∆ Cost* (€) mean (95% CI)∆ Effect* (days) mean (95% CI)ICER €/dayDistribution CE plane
NE† (%)SE‡ (%)SW§ (%)NW¶ (%)
RTW−228 (−708 to 136)4.1** (−2.6 to 10.8)−561569106
QALYs gained−647 (−2116 to 735)−0.001 (−0.023 to 0.020)501 1874423519
HR-QoL (SF-36)
 PCS−647 (−2116 to 735)−0.7 (−2.6 to 1.1)8706195817
 MCS−647 (−2116 to 735)−0.4 (−2.5 to 1.7)157310334413
Recovery (RI-10)−647 (−2116 to 735)−0.6 (−2.0 to 0.9)11275225518
  • *Uncertainty estimated using bootstrapping and corrected for clustering by hospital and type of surgery.

  • †Refers to the north-east quadrant of the CE plane, indicating that the intervention care programme is more effective and more costly than usual care.

  • ‡Refers to the south-east quadrant of the CE plane, indicating that the intervention care programme is more effective and less costly than usual care.

  • §Refers to the south-west quadrant of the CE plane, indicating that the intervention care programme is less effective and less costly than usual care.

  • ¶Refers to the north-east quadrant of the CE plane, indicating that the intervention care programme is less effective and more costly than usual care.

  • **Note that a positive value indicates faster RTW in the intervention group compared with the control group.

  • CE, cost-effectiveness; HR-QoL, health-related quality of life; ICER, incremental cost-effectiveness ratio; MCS, mental component scale; PCS, physical component scale; QALY, quality-adjusted life year; RI, recovery index; RTW, return to work; SF, short form.