Table 1. Selected data for base case.
Data inputs | Expected value (CAD) | Range | ||
---|---|---|---|---|
Cost inputs | ||||
Radical hysterectomy (open) [19] | $7,732 | $5,412–$10,052 | ||
Radical hysterectomy (MIS) [19] | $4,151 | $2,906–$5,396 | ||
Robotic hysterectomy [26] | $13,012 | $9,108–$16,916 | ||
Simple hysterectomy (open) [19] | $5,276 | $3,693–$6,859 | ||
Simple hysterectomy (MIS) [19] | $4,151 | $2,906–$5,396 | ||
Urinary tract complication requiring Urology [19] | $8,220 | $5,754–$10,686 | ||
Intestinal complication requiring General Surgery [19] | $7,095 | $4,967–$9,224 | ||
Postoperative complications requiring readmission to hospital [19] | ||||
Bowel obstruction | $3,529 | $2,470–$4,588 | ||
Pulmonary embolism | $5,098 | $3,568–$6,627 | ||
Deep vein thrombosis/thrombophlebitis | $4,954 | $3,468–$6,440 | ||
Outpatient visits [20] | ||||
Initial consultation (gynecologic oncologist, radiation or medical oncologist) | $155 | $108–$202 | ||
Follow-up visit | $85 | $60–$111 | ||
Consultation in emergency department for postoperative complication | $130 | $91–$169 | ||
CT scan abdomen and pelvis | $139 | $97–$181 | ||
Biopsy vaginal vault for suspected recurrence | $52 | $36–$68 | ||
Interventional radiology consultation for other biopsy | $103 | $72–$134 | ||
Opportunity costs | ||||
Median hourly wage for ages 25–54 [27] | 34 | 24–44 | ||
Employment rate ages 25–54 [25] | 81.4% | 0.73–0.90 | ||
Time lost after surgery | 6 weeks | 4–36 | ||
Time lost after postoperative complication | 6 weeks | 4–36 | ||
Time lost after adjuvant radiotherapy | 11 weeks | 9–26 | ||
Time lost after adjuvant chemotherapy | 24 weeks | 24–52 | ||
Chemotherapy [19,21] | ||||
Chair time | $5,679 | $3,975–$7,383 | ||
Adjuvant therapy if high risk disease (6 cycles of paclitaxel and carboplatin) | $16,260 | $11,382–$21,138 | ||
Weekly cisplatin (5 cycles if intermediate risk disease) | $1,350 | $945–$1,755 | ||
Radiotherapy [22,23] | ||||
Adjuvant pelvic radiotherapy | $10,761 | $7,533–$13,989 | ||
Brachytherapy | $6,467 | $4,527–$8,407 | ||
Clinical inputs [15] | ||||
Admission to hospital after surgery | ||||
Radical hysterectomy | 0.116 | 0.10–0.128 | ||
Simple hysterectomy | 0.044 | 0.040–0.048 | ||
Urinary incontinence beyond 4 wk | ||||
Radical hysterectomy | 0.11 | 0.10–0.12 | ||
Simple hysterectomy | 0.047 | 0.042–0.052 | ||
Urinary retention beyond 4 wk | ||||
Radical hysterectomy | 0.099 | 0.090–0.11 | ||
Simple hysterectomy | 0.006 | 0.005–0.007 | ||
3-yr event (recurrence or death) | ||||
Radical hysterectomy | 0.022 | 0.02–0.024 | ||
Simple hysterectomy | 0.037 | 0.033–0.041 | ||
Health utility | ||||
Baseline | ||||
Radical hysterectomy | 0.83 | 0.75–0.91 | ||
Simple hysterectomy | 0.81 | 0.73–0.89 | ||
12 mo | ||||
Radical hysterectomy | 0.82 | 0.74–0.90 | ||
Simple hysterectomy | 0.80 | 0.72–0.88 | ||
24 mo | ||||
Radical hysterectomy | 0.82 | 0.74–0.90 | ||
Simple hysterectomy | 0.82 | 0.74–0.90 | ||
36 mo | ||||
Radical hysterectomy | 0.82 | 0.74–0.90 | ||
Simple hysterectomy | 0.82 | 0.74–0.90 |
CAD, Canadian dollars; CT, computed tomography; MIS, minimally invasive surgery.