Skip to main content
. 2007 Mar 2;334(7594):621. doi: 10.1136/bmj.39112.480023.BE

Cost and utility variables, discount rate, and transition probabilities used in statistical model

Variable Minimum Likeliest Maximum
Cost variables (£)*
Cost of procedure:
 MIDCAB 2832.27 3146.97 3461.67
 PTCS 1743.40 1937.11 2130.82
Cost of follow-up:
 MIDCAB 454.66 505.18 555.70
 PTCS 427.06 474.51 521.96
Cost of myocardial infarction 407.82 453.13 498.44
Cost of stroke 1427.40 1586.00 1744.60
Travel expenses:
 MIDCAB 1.98 2.20 2.42
 PTCS 2.48 2.76 3.04
Out of pocket expenses for patient:
 MIDCAB 4.34 4.82 5.30
 PTCS 4.91 5.46 6.01
Cost to society for time off work:
 Patient
  MIDCAB 1348.29 1498.10 1647.91
  PTCS 1084.14 1204.60 1325.06
 Carer
  MIDCAB 29.12 32.36 35.60
  PTCS 37.07 41.19 45.31
Utility variables (QALYs)†
Asymptomatic utility 0.774 0.860 0.946
Utility of MIDCAB 0.745 0.828 0.910
Utility of PTCS 0.772 0.857 0.943
Utility of myocardial infarction 0.752 0.835 0.919
Utility after stroke 0.504 0.560 0.616
Utility of MIDCAB after stroke 0.475 0.528 0.580
Utility of PTCS after stroke 0.502 0.557 0.613
Utility of myocardial infarction after stroke 0.482 0.535 0.589
Utility after second stroke 0.477 0.530 0.583
Discount rate‡ 0 0.035 0.06
Transition probabilities§
Probability of repeat revascularisation with PTCS:
 MIDCAB 0.0082 0.0174 0.0452
 PTCS 0.0227 0.0583 0.1135
Probability of repeat revascularisation with CABG:
 MIDCAB 0.0016 0.0073 0.0121
 PTCS 0.0057 0.0094 0.0400
Rate of myocardial infarction:
 MIDCAB 0.0083 0.0170 0.0419
 PTCS 0.0096 0.0240 0.0482
Rate of stroke:
 MIDCAB 0.0018 0.0044 0.0105
 PTCS 0.0080 0.0192 0.0462
Perioperative mortality:
 MIDCAB 0.0026 0.0224 0.0281
 PTCS 0.0059 0.0075 0.0610
Mortality†:
 Myocardial infarction 0.2 0.25 0.5
 Stroke 0.1 0.2 0.3
 Baseline¶

£1.00 (€1.51; $1.96). MIDCAB=minimally invasive direct coronary artery bypass; PTCS=percutaneous transluminal coronary artery stenting; CABG=coronary artery bypass grafting.

Distributions for each variable were triangular.

*Reeves et al.17

†NICE.13

‡NICE.10

§Aziz et al.4

¶UK government actuary's department tables.12