Table 4

 Costs per additional patient with relevant improvement in quality of life

InterventionsTime scaleYearCosts per additional patient with improved QoL ⩾MCIDQoL measure
MCID, minimal clinically important difference; MDI, metered dose inhaler; DPI, dry powder inhaler; QoL, quality of life; SGRQ, St George’s Respiratory Questionnaire; CRQ, Chronic Respiratory Questionnaire.61–64
Tiotropium v ipratropium (MDI)601 year2001Euros 1084SGRQ total
Tiotropium v ipratropium
>(44% MDI/56% DPI)60
1 year2001Euros 289SGRQ total
Salmeterol v placebo594 monthsNot reportedUK £497SGRQ total
Early treatment with fluticasone
>v placebo58
1 year1998US $1674CRQ dyspnoea
Detection+early treatment with fluticasone v placebo581 year1998US $4361CRQ dyspnoea
Rehabilitation (2 months inpatient and 4 months outpatient) v conventional community care576 months1989Can $28993CRQ mastery
Can $38270CRQ emotional
Can $47548CRQ dyspnoea
Can $51027CRQ fatigue