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Fig 1.

Structure of the Markov cohort model.

Arrows to the health state “dead” excluded for simplification. Fx, fracture; Vert, vertebral. Transition to death can occur from any state.

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Table 1.

Relative risks of fractures used in the model.

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Table 2.

Health-related quality of life, utilities, and drug, treatment monitoring/administration, direct medical costs.

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Table 3.

Base case lifetime cost-effectiveness results.

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Fig 2.

Scatter plot of probabilistic results (incremental).

LY, life year.

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Fig 3.

Cost-effectiveness acceptability curves.

LY, life year.

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Fig 3 Expand

Fig 4.

Tornado diagram of deterministic sensitivity analyses.

Romosozumab/alendronate versus alendronate—discounted incremental net monetary benefit at a threshold of $600,000/QALY. FRAME, FRActure study in postmenopausal woMen with ostEoporosis; BMD, bone mineral density; Fx, fracture; QALY, quality-adjusted life year; RR, relative risk; SD, standard deviation; vert, vertebral.

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Table 4.

Scenario analysis results.

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Table 4 Expand