A practical tool in Excel
In The Netherlands, the cost-utility threshold depends on burden of disease; when a condition has a higher burden of disease, a higher threshold applies. The highest threshold is 80,000 euro per Quality Adjusted Life Year, which applies for conditions withe a high burden of disease.
An important challenge is the uniform assessment of burden of disease. iMTA developed a practical tool that can be used in to calculate the ‘proportional shortfall’ of a condition and the ‘fair innings’ of a condition. The tool is referred to as the iMTA Disease Burden Calculator (iDBC) and enhances a uniform assessment. The iDBC can calculate burden of disease from the Dutch perspective.