Table 1.
Model Parameter | Value | Source |
---|---|---|
Population inputs | ||
Age at transplantation, yr | 53 | CIBMTR [3] |
Male sex, % | 58 | CIBMTR [14] |
Malignancy or underlying disease, % | ||
AML | 51 | CIBMTR [3] |
ALL | 21 | |
MDS | 28 | |
SCT donor type and graft source, % | ||
Related | 32 | |
Bone marrow | 8 | |
PBSCs | 92 | |
Unrelated | 68 | |
Bone marrow | 9 | |
PBSCs | 91 | |
Healthcare utilization costs, $ | ||
Cost of allo-HCT | 182,642 | Grubb et al. 2016 [21] |
Acute GVHD | ||
100 days | 79,197 | Yu et al. 2020 [22] |
1 year | 158,938 | |
Chronic GVHD (1 year) | 220,202 | Bachier et al. 2021 [19] |
Relapse episode | 206,003 | Pandya et al. 2019 [24] |
Infection-related hospitalization | 53,214 | Godara et al. 2021 [25], Schuster et al. 2017 [26] |
Maintenance therapy | ||
Annual cost of sorafenib | 277,765 | IBM Redbook [29], Nexavar PI [30] |
Annual cost of imatinib mesylate | 184,861 | IBM Redbook [29], Gleevec PI [31] |
End of life | 174,102 | Mau et al. 2020 [32], Scitovsky et al. 2005 [33] |
Patient utilities and disutilities | ||
Utilities | ||
Post-HCT without GVHD | 0.86 | Perić et al. 2016 [35], Forsythe et al. 2018 [36] |
Post-HCT with GVHD | 0.69 | |
Relapse/progressed | ||
AML | 0.53 | Pan et al. 2010 [42] |
ALL | 0.74 | Delea et al. 2017 [43] |
MDS | 0.60 | Pan et al. 2010 [42] |
Disutilities | ||
Infection | −0.23 | Sarkar et al. 2019 [37] |
All costs are inflation-adjusted to 2021 US dollars using the using the medical care consumer price index from the Bureau of Labor Statistics [34]. PBSCs indicates peripheral blood stem cells.