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. 2023 May 28;41(8):981–997. doi: 10.1007/s40273-023-01277-4

Table 6.

Model input parameters for estimation of costs and effects related to MammaPrint® and endocrine therapy: Costs input parameters (costs in Euros)

Direct health care costs
Once SE Alpha Beta Source
MammaPrint® costs €2674 fixed n.a. n.a. [32]
Endocrine therapy Per cycle SE
Average of AIs €31.03 3.10a 100 0.31 [33]
Tamoxifen (generic) €19.11 1.91a 100 0.19
Ovarian suppression—first cycle 3 injections per cycle €908.91 90.9a 100 9.09
Ovarian suppression—subsequent cycles 1 injection per cycle €302.97 30.3a 100 3.03
Minor adverse event costs
Per cycle SE Alpha Beta Source
Vasomotor €22.17 0.22a 100 0.22 [39] + assumptions
Vulvovaginal €22.17 0.22a 100 0.22
Mood €22.17 0.22a 100 0.22
Cognitive €22.17 0.22a 100 0.22
Once SE Alpha Beta Source
Fractures €5486 €1321b 16 343 [46] (once)
Major adverse event health care costs
Once SE Alpha Beta Source
Thromboembolic events €4459 €1130b 16 279 [47]
Endometrium cancer €15,292 €562 739 21 [48]
Other malignancies €29,897 €7474b 16 1869 [4951]
Indirect health care costs
Per cycle SE Alpha Beta Source
Indirect medical costs Based on PAID 3.0 n.v. n.a. n.a. [34]
End-of-life costs n.v. n.a. n.a.
Patient and family costs
Per cycle SE Alpha Beta Source
Travel costs
 Patients with minor AEs €4.64 €0.46a 100 0.05 [17]
Informal care costs
 Patients who died from major AEs €2680 €670b 16 168 [52]
Costs made in other sectors
Per cycle SE Alpha Beta Source
Costs due to productivity losses for patients treated with ET with related AEs —first 3 months €3094 €656 22 139 TOTAM study (see Supplemental file 7) [28, 29]
Costs due to productivity losses for patients treated with ET-related AEs —next 3 months €907 €348 7 133
Costs due to productivity losses for patients treated with ET-related AEs —subsequent months €846 €342 6 138
Costs due to productivity losses for patients without ET-related AEs —first 3 months €320 €320 1 320
Costs due to productivity losses for patients without ET-related AEs — 3–6 months €346 €163 5 77
Costs due to productivity losses for patients without ET-related AEs—subsequent months 0 €0.5 1 250
Cost due to productivity losses for patients who died from major adverse events €3501 €875 16 219 (costs of 1 friction costs period = 102 days) [17]
Non-medical consumption costs in life years gained
 Non-medical consumption costs for each age ≥63 y Based on PAID 3.0 n.v. n.a. n.a. [34]

AEs adverse events, AIs aromatase inhibitors (anastrozole, letrozole, exemestane), ET endocrine therapy, n.a. not applicable, n.v. not varied, PAID Practical Application to Include Disease Costs

aSE assumed to be 10% of mean

bSE assumed to be 25% of mean