Table 1.
Transition probabilities, costs, and utilities in this study.
Category | Base-case | Lower | Upper | Distribution | Reference |
---|---|---|---|---|---|
Cure rate | |||||
Vancomycin | 87.5% | 81.6% | 93.4% | Beta (α:105, β:15) | (21–23) |
Vancomycin (IBD) | 78.6% | 57.1% | 99% | Beta (α: 11, β: 3) | (24) |
FMT | 90.5% | 84.2% | 96.8% | Beta (α: 76, β: 8) | CGMTC |
FMT (IBD) | 87.5% | 76% | 99% | Beta (α: 28, β: 4) | CGMTC |
Fidaxomicin | 89.7% | 83.3% | 96.1% | Beta (α: 79, β: 9) | (21, 22) |
Fidaxomicin (IBD) | 81.3% | 69.6% | 93% | Beta (α: 35, β: 8) | (25, 26) |
Recurrence rate | |||||
Vancomycin | 31.0% | 24.8% | 38.2% | Beta (α: 32, β: 72) | (21–23) |
Vancomycin (IBD) | 45.5% | 16.1% | 74.9% | Beta (α: 5, β: 6) | (24) |
FMT | 9.21% | 2.71% | 15.7% | Beta (α: 7, β: 69) | CGMTC |
FMT (IBD) | 27.0% | 10.6% | 43.4% | Beta (α: 5, β: 14) | CGMTC |
Fidaxomicin | 20.3% | 11.4% | 29.2% | Beta (α: 16, β: 63) | (21, 22) |
Fidaxomicin (IBD) | 22.8% | 8.9% | 36.7% | Beta (α: 8, β: 27) | (25, 26) |
Crude mortality rate (3 m) | 0.2% | fixed | fixed | fixed | Local data |
Mortality from CDI | 0.7% | 0.2% | 1.2% | Beta (α:12, β:1,724) | (12, 27) |
Utility | |||||
Improve | 1 | Fixed | Fixed | Fixed | - |
Dead | 0 | Fixed | Fixed | Fixed | - |
Recurrent CDI | 0.82 | 0.72 | 0.84 | Triangular (0.82, 0.72, 0.84) | (11, 28, 29) |
Refractory CDI | 0.71 | 0.5 | 0.72 | Triangular (0.71,0.50,0.72) | (11, 28, 29) |
Cost | |||||
Vancomycin | 25,160 | 18,870 | 31,450 | Gamma (25, 160, SD: 3,145) | Local cost |
FMT | 67,000 | 50,250 | 83,750 | Gamma (67,000, SD: 8,375) | Local cost |
FMT (recurrence) | 67,286 | 50,465 | 84,108 | Gamma (67,286, SD: 8,411) | Local cost |
Fidaxomicin | 21,627 | 16,220 | 27,034 | Gamma (21,627, SD: 2,703) | Local cost |
CGMTC, Chang Gung Microbiota Therapy Center; CDI, Clostridioides difficile infection; FMT, fecal microbiota transplantation; IBD, inflammatory bowel disease; SD, standard deviation.
The costs of vancomycin, fidaxomicin, FMT via colonoscopy, and the costs of the ward, registration, diagnostic, medicine service, and nursing fees were included in this analysis.
All costs are expressed in New Taiwan Dollars (NT$).