Table 1.
The key parameters of the metastatic breast cancer model with N+C and L+C.
Variable/probability | Formula | Best estimate | SA range | Distribution |
---|---|---|---|---|
––N+C | ||||
RR | 0.63 | |||
OS | 24 | |||
PFS | 8.8 | |||
DoR | 8.5 | |||
Stable→Stable (Nss) | 1-Nsp-Nsr | 0.575 | 0.5175–0.6325 | Beta |
Stable→Remission(Nsr) | 1-exp(-RR/3) | 0.189 | 0.1701–0.2079 | Beta |
Stable→Relapse(Nsp) | Nrp*4 | 0.236 | 0.2124–0.2596 | Beta |
Remission→Remission(Nrr) | 1-Nrp | 0.941 | 0.8469–1.0000 | Beta |
Remission→Relapse(Nrp) | 1-exp[-0.75*In(2)/(DoR)] | 0.059 | 0.0531–0.0649 | Beta |
Relapse→Relapse(Npp) | 1-Npd | 0.966 | 0.8694–1.0000 | Beta |
Relapse→Death(Npd) | 1-exp[-0.75*In(2)/(OS-PFS)] | 0.034 | 0.0306–0.0374 | Beta |
––L+C | ||||
RR | 0.7 | |||
OS | 22 | |||
PFS | 6.6 | |||
DoR | 5.6 | |||
Stable→Stable (Lss) | 1-Lsp-Lsr | 0.44 | 0.3960–0.4840 | Beta |
Stable→Remission(Lsr) | 1-exp(-RR/3) | 0.208 | 0.1872–0.2288 | Beta |
Stable→Relapse(Lsp) | Lrp*4 | 0.352 | 0.3168–0.3872 | Beta |
Remission→Remission(Lrr) | 1-Lrp | 0.912 | 0.8208–1.0000 | Beta |
Remission→Relapse(Lrp) | 1-exp[−0.75*In(2)/DoR)] | 0.088 | 0.0792–0.0968 | Beta |
Relapse→Relapse(Lpp) | 1-Lpd | 0.967 | 0.8703–1.0000 | Beta |
Relapse→Death(Lpd) | 1-exp(−0.75*In(2)/(OS-PFS)] | 0.033 | 0.0297–0.0363 | Beta |
Discount rate for costs and QALYs | 3% per year | |||
Health state utilities | ||||
No recurrence (chemotherapeutic period) | 0.74 | 0.0592–0.888 | Beta | |
No recurrence (after chemotherapy) | 0.94 | 0.752–1.000 | Beta | |
local recurrence (in the first year) | 0.74 | 0.592–0.888 | Beta | |
Remission | 0.85 | 0.680–1.000 | Beta | |
Relapse | 0.5 | 0.400–0.600 | Beta |
RR, relative risk, (OS−PFS)/OS; OS, overall survival; PFS, progression-free survival; DoR, duration of response; QALY, quality-adjusted life-year.